OrganizationActive
Community Life Support,inc
NPI 1093521908 · Clinic/Center · Opa Locka, FL
Provider details
- NPI number
- 1093521908
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Yadira Munoz, Manager(305) 505-7518
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
486 Fisherman St
Opa Locka, FL 33054-3818
Phone: (305) 688-5456
Fax: (305) 688-1661
Street-level locationGet directions
Mailing address
486 Fisherman St
Opa Locka, FL 33054-3818
Other names (DBA / former)
- Former legal business name
- Community Life Support,inc
Registry dates
- Enumerated
- 2024-12-05
- Last updated
- 2024-12-05
- Certified
- 2024-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.