Organization Active NPI

Pain Medical Center Corp

  • Physical Therapist
  • Pembroke Pines, FL
National Provider Identifier
1124541362
Registry record updated Jul 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PAIN MEDICAL CENTER CORP
Practice address
1806 N Flamingo Rd Ste 450
Pembroke Pines, FL 33028-1043
Phone
(954) 374-4754
NPI assigned
Jul 19, 2017
Last updated
Jul 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2017

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

Authorized official

Name
Ynes Mercedes Omana
Title
President
Phone
(954) 374-4754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1806 N Flamingo Rd Ste 450
Pembroke Pines, FL 33028-1043

Mailing address

1806 N Flamingo Rd Ste 450
Pembroke Pines, FL 33028-1043

National Provider Directory

National Provider Directory

Locations

1806 N Flamingo Rd
Ste 450
Pembroke Pines, FL 33028
Phone (954) 374-4754

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500422400000",
    "number": "1124541362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 N FLAMINGO RD STE 450",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N FLAMINGO RD STE 450",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281043",
            "telephone_number": "954-374-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2017-07-19",
        "status": "A",
        "authorized_official_last_name": "OMANA",
        "authorized_official_first_name": "YNES",
        "authorized_official_middle_name": "MERCEDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-374-4754"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.