Organization Active NPI

Acl Health Center Corp

  • Physical Medicine & Rehabilitation Physician
  • Miami, FL
National Provider Identifier
1033860390
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Jan 18, 2022

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
13215OtherFLAHCA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.