=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396636635
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FAMILY FIRST CENTER INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/14/2025
-----------------------------------------------------
Last Update Date | 08/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8905 SW 169TH CT STE 105
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33196-4771
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-479-0494
-----------------------------------------------------
Fax | 786-479-0494
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16672 SW 92ND ST
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33196-1083
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-479-0494
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | YINDRA ISAAC AMADOR
-----------------------------------------------------
Credential | APRN
-----------------------------------------------------
Telephone | 786-521-0973
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------