Proform MD LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PROFORM MD LLC

Practice address

8525 SW 92ND St Ste D17
Miami, FL 33156-7378

Phone

(786) 517-4577

Fax

(786) 364-7330

NPI assigned

May 31, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Rodrigo Marin, MDNPI 1396920161

Title

President

Phone

(786) 517-4577

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel R Marin, MD

  • Physical Medicine & Rehabilitation Physician
  • Miami, FL
  • NPI 1396920161
  NPD Authorized official

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1093373409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 SW 92ND ST STE D17",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567378",
            "telephone_number": "786-517-4577",
            "fax_number": "786-364-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 SW 92ND ST STE D17",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567378",
            "telephone_number": "786-517-4577",
            "fax_number": "786-364-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3659 S Miami Ave Ste 4002",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334231",
            "country_code": "US",
            "telephone_number": "786-517-4577",
            "fax_number": "786-364-7330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFORM MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RODRIGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-517-4577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Touch Rehabilitation Center Corp
• Professional Treatment Medical Center
• Professional Wellness Center Inc
• Professional-Med Care Services Corp
• Proficient & Professional Case Management Services Corp
• Progenic Rehab, Inc.
• Progresive Rehabilitation Center
• Progress Rehabilitation Inc
• Progress Rehabilitation Inc
• Progress Rehabilitation, Inc.

• Physical Medicine & Rehabilitation Physician in Miami, FL
• Providers in Miami, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.