MY ROOTS OF LIFE
NPI 1053151902
Clinic/Center - Adult Mental Health in Miami, FL

Active since May 29, 2024
12863 SW 42ND ST, MIAMI, FL 33175(786) 234-1609 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About My Roots Of Life NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY ROOTS OF LIFE (NPI 1053151902) is a healthcare organization registered as an adult mental health in Miami, Florida and active in the NPI registry since May 2024. The organization lists Vilma Garrido Riquenes, License Mental Health Counselor, as its authorized official.

NPPES Registry Identity

NPI1053151902
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameMY ROOTS OF LIFE
Location Address12863 SW 42ND STMiami, FL 33175-3434
Mailing Address17025 Nw 52nd PlMiami Gardens, FL 33055-4018 · (786) 234-1609
Organization SubpartNo
Authorized OfficialVilma Garrido RiquenesLicense Mental Health Counselor · (786) 234-1609
Enumeration DateMay 29, 2024
NPPES CertifiedMay 29, 2024
NPI 1053151902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

12863 SW 42ND ST, Miami, FL 33175

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
12863 SW 42ND ST
MIAMI, FL 33175

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is My Roots Of Life's NPI number?

The NPI number for My Roots Of Life is 1053151902. It was assigned to this organization in the NPPES registry on May 29, 2024.

Where is My Roots Of Life located?

My Roots Of Life is located at 12863 SW 42nd St, Miami, FL 33175. The listed phone number is (786) 234-1609.

What is My Roots Of Life's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for My Roots Of Life was last updated on May 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.