Prestige Medical Spa Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

HCC9867 Issued in FL

Legal business name

PRESTIGE MEDICAL SPA INC

Practice address

13205 SW 137TH Ave
Ste. 126
Miami, FL 33186-5331

Phone

(305) 251-9917

Fax

(305) 251-9975

NPI assigned

Feb 10, 2012

Organization subpart

No

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

Authorized official

Name

Ofir O Macias Torres

Title

President

Phone

(305) 251-9917

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1114290921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13205 SW 137 AVE",
            "address_2": "STE. 126",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "telephone_number": "305-251-9917",
            "fax_number": "305-251-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13205 SW 137TH AVE",
            "address_2": "STE. 126",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865331",
            "telephone_number": "305-251-9917",
            "fax_number": "305-251-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MEDICAL SPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "MACIAS TORRES",
        "authorized_official_first_name": "OFIR",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-251-9917"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "HCC9867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prestige Medical Center
• Prestige Medical Office Inc.
• Prestige Medical Rehab Center Inc
• Prestige Medical Services Inc
• Prestige Medical Solutions (Prestige Behavioral Group)
• Prestige Medical Systems
• Prestige Medical Systems
• Prestige Nursing Care Inc
• Prestige Professional Service Corp
• Prestige Rehabilitation Center, Inc

• Rehabilitation Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.