Active NPI
Good Life Community Center Corp
- General Practice Physician
- Doral, FL
National Provider Identifier
1962310920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- GOOD LIFE COMMUNITY CENTER CORP
- Practice address
- 7855 NW 12TH St Ste 221
Doral, FL 33126-1819 - Phone
- (786) 558-5062
- Fax
- (786) 359-4008
- NPI assigned
- Aug 31, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yanailys Rodriguez
- Title
- Owner
- Phone
- (786) 558-5062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
7855 NW 12TH St Ste 221
Doral, FL 33126-1819
Mailing address
7855 NW 12TH St Ste 221
Doral, FL 33126-1819
Phone (786) 558-5062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1962310920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7855 NW 12TH ST STE 221",
"city": "DORAL",
"state": "FL",
"postal_code": "331261819",
"telephone_number": "786-558-5062",
"fax_number": "786-359-4008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7855 NW 12TH ST STE 221",
"city": "DORAL",
"state": "FL",
"postal_code": "331261819",
"telephone_number": "786-558-5062",
"fax_number": "786-359-4008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD LIFE COMMUNITY CENTER CORP",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "YANAILYS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-558-5062"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.