Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GRANDA'S CORP
NPI 1629993100
Nurse Practitioner - Family in Bay Harbor Islands, FL

Active since August 12, 2026CLIA 10D2349644 · Waiver
1108 KANE CONCOURSE STE 225, BAY HARBOR ISLANDS, FL 33154(305) 790-3082 Get Directions Write a Review

NPPES record added: August 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Granda's Corp NPPES

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

GRANDA'S CORP (NPI 1629993100), doing business as Coastal Integrated Health, is a healthcare organization registered as a family in Bay Harbor Islands, Florida and active in the NPI registry since August 2026. The organization holds a CLIA Waiver certificate valid through August 24, 2028 and lists Hailys Lezcano Vento, Owner, as its authorized official.

NPPES Registry Identity

NPI1629993100
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGRANDA'S CORP
Location Address1108 KANE CONCOURSE STE 225Bay Harbor Islands, FL 33154-2069
Mailing Address9200 Bay Harbor Ter Apt 2bBay Harbor Islands, FL 33154-2734
Organization SubpartNo
Authorized OfficialHailys Lezcano VentoOwner · (305) 790-3082
Enumeration DateAugust 12, 2026
NPPES CertifiedAugust 12, 2026
✔ NPI 1629993100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1108 KANE CONCOURSE STE 225, Bay Harbor Islands, FL 33154

Other Names 1

Doing Business AsCoastal Integrated Health

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2349644

Granda's Corp Dba Coastal Integrated Health · Bay Harbor Islands, FL
Active · expires Aug 24, 2028
CLIA Number10D2349644
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2026
Certificate Expiration DateAugust 24, 2028
Laboratory DirectorHailys Lezcano Vento
Laboratory Phone(786) 870-0022
Laboratory LocationGranda's Corp Dba Coastal Integrated Health1108 Kane Concourse Suite 225, Bay Harbor Islands, FL 33154
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Obstetrics & Gynecology (Reproductive Endocrinology)
1108 KANE CONCOURSE STE 225
BAY HARBOR ISLANDS, FL 33154
Internal Medicine
1108 KANE CONCOURSE STE 225
BAY HARBOR ISLANDS, FL 33154
Internal Medicine
1108 KANE CONCOURSE STE 225
BAY HARBOR ISLANDS, FL 33154

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 Granda's Corp's NPI number?

The NPI number for Granda's Corp is 1629993100. It was assigned to this organization in the NPPES registry on August 12, 2026. The provider is doing business as Coastal Integrated Health.

Where is Granda's Corp located?

Granda's Corp is located at 1108 Kane Concourse Ste 225, Bay Harbor Islands, FL 33154. The listed phone number is (305) 790-3082.

What is Granda's Corp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Granda's Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2349644) is associated with this NPI, valid through August 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Granda's Corp was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.