Organization Active NPI

Oasis Specialized Therapy Care

  • Physical Medicine & Rehabilitation Physician
  • Miami Lakes, FL
National Provider Identifier
1124532957
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
OASIS SPECIALIZED THERAPY CARE
Practice address
15485 Eagle Nest LN Ste 120
Miami Lakes, FL 33014-2221
Phone
(305) 417-0158
Fax
(305) 602-8929
NPI assigned
Dec 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Authorized official

Name
Mr. Ezequiel Perez
Title
Manager
Phone
(305) 417-1191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

15485 Eagle Nest LN Ste 120
Miami Lakes, FL 33014-2221

Mailing address

15485 Eagle Nest LN Ste 120
Miami Lakes, FL 33014-2221
Phone (305) 417-0158

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1124532957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15485 EAGLE NEST LN STE 120",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142221",
            "telephone_number": "305-417-0158",
            "fax_number": "305-602-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15485 EAGLE NEST LN STE 120",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142221",
            "telephone_number": "305-417-0158",
            "fax_number": "305-602-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS SPECIALIZED THERAPY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "EZEQUIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-417-1191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.