Cremades Medical Center Corp

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CREMADES MEDICAL CENTER CORP

Practice address

5555 Hollywood Blvd Ste 320
Hollywood, FL 33021-6476

Phone

(954) 367-2634

Fax

(954) 467-2716

NPI assigned

Dec 15, 2020

Organization subpart

No

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

Authorized official

Name

Fernando Cremades, OWNER

Title

President

Phone

(954) 367-2634

Specialties & licenses 1

Addresses

Other names 1

• CREMADES MEDICAL CENTER CORP Former legal business name

Locations

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1033705983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 HOLLYWOOD BLVD STE 320",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216476",
            "telephone_number": "954-367-2634",
            "fax_number": "954-467-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 HOLLYWOOD BLVD STE 320",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216476",
            "telephone_number": "954-367-2634",
            "fax_number": "954-467-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREMADES MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "CREMADES",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-367-2634",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CREMADES MEDICAL CENTER CORP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Physical Therapist in Hollywood, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.