Organization Active NPI

Little Habana Wellness Center Inc

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1952920746
Registry record updated Apr 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LITTLE HABANA WELLNESS CENTER INC
Practice address
849 SW 1St St
Miami, FL 33130-1207
Phone
(786) 353-9284
Fax
(786) 817-2518
NPI assigned
Apr 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Luis Nieto
Title
President
Phone
(786) 570-3900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

849 SW 1St St
Miami, FL 33130-1207

Mailing address

849 SW 1St St
Miami, FL 33130-1207
Phone (786) 353-9284

National Provider Directory

National Provider Directory

Locations

849 SW 1st St
Miami, FL 33130
Phone (786) 312-0513

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586563200000",
    "number": "1952920746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 SW 1ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301207",
            "telephone_number": "786-353-9284",
            "fax_number": "786-817-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 SW 1ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301207",
            "telephone_number": "786-353-9284",
            "fax_number": "786-817-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE HABANA WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-11",
        "last_updated": "2020-04-11",
        "certification_date": "2020-04-11",
        "status": "A",
        "authorized_official_last_name": "NIETO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-570-3900"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.