Active NPI
Acl Health Center Corp
- Physical Medicine & Rehabilitation Physician
- Miami, FL
National Provider Identifier
1033860390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- ACL HEALTH CENTER CORP
- Practice address
- 2721 SW 137TH Ave Ste 102
Miami, FL 33175-6355 - Phone
- (786) 208-6744
- NPI assigned
- Jan 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Imber Medina Ramentol
- Title
- Owner
- Phone
- (786) 208-6744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
2721 SW 137TH Ave Ste 102
Miami, FL 33175-6355
Mailing address
2721 SW 137TH Ave Ste 102
Miami, FL 33175-6355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13215 | Other | FL | AHCA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642464000000",
"number": "1033860390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2721 SW 137TH AVE STE 102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331756355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2721 SW 137TH AVE STE 102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331756355",
"telephone_number": "786-208-6744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACL HEALTH CENTER CORP",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-18",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A",
"authorized_official_last_name": "RAMENTOL",
"authorized_official_first_name": "IMBER",
"authorized_official_middle_name": "MEDINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-208-6744"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "13215",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.