NPIMap

Organization Active NPI

Little Havana Activities and Nutrtion Centers of Dade County

  • Health Maintenance Organization
  • Miami, FL
National Provider Identifier
1972760270
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
LITTLE HAVANA ACTIVITIES AND NUTRTION CENTERS OF DADE COUNTY
Practice address
700 SW 8TH St
Miami, FL 33130-3311
Phone
(305) 858-0887
Fax
(305) 854-2226
NPI assigned
May 22, 2008
Last updated
Jun 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Authorized official

Name
Mr. Rafae; Iglesias
Title
Ceo/Presdient
Phone
(305) 858-0887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

700 SW 8TH St
Miami, FL 33130-3311

Mailing address

700 SW 8TH St
Miami, FL 33130-3311
Phone (305) 858-0887

Other identifiers 1

IdentifierTypeStateIssuer
015040102MedicaidFL

Other names 1

  • LHANC - DIVERSION PALM BEACH Other name

National Provider Directory

National Provider Directory
Tax ID family
Little Havana Activities Nutrition Centers of Dade County Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1972760270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303311",
            "telephone_number": "305-858-0887",
            "fax_number": "305-854-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303311",
            "telephone_number": "305-858-0887",
            "fax_number": "305-854-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE HAVANA ACTIVITIES AND NUTRTION CENTERS OF DADE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "RAFAE;",
        "authorized_official_title_or_position": "CEO/PRESDIENT",
        "authorized_official_telephone_number": "305-858-0887",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015040102",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LHANC - DIVERSION PALM BEACH",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "LHANC - DIVERSION PALM BEACH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 7, 2021; 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.