Organization Active NPI

Health Family Therapy, Inc

  • Pain Clinic/Center
  • Virginia Gardens, FL
National Provider Identifier
1114128675
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
HEALTH FAMILY THERAPY, INC
Practice address
6595 NW 36TH St
Suite# 112
Virginia Gardens, FL 33166-6979
Phone
(305) 871-3161
Fax
(305) 871-3162
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Pedro L Mantilla
Title
President
Phone
(305) 871-3161

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Pain Clinic/Center 261QP3300X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

6595 NW 36TH St
Suite# 112
Virginia Gardens, FL 33166-6979

Mailing address

6595 NW 36TH St
Suite# 112
Virginia Gardens, FL 33166-6979
Phone (305) 871-3161

National Provider Directory

National Provider Directory

Locations

6595 NW 36th St
Ste 112
Virginia Gardens, FL 33166
Phone (305) 871-3161

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1114128675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6595 NW 36TH ST",
            "address_2": "SUITE# 112",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666979",
            "telephone_number": "305-871-3161",
            "fax_number": "305-871-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 NW 36TH ST",
            "address_2": "SUITE# 112",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666979",
            "telephone_number": "305-871-3161",
            "fax_number": "305-871-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH FAMILY THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MANTILLA",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-871-3161"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.