Organization Active NPI

Justin Medical Services,Inc

  • Physical Therapy Clinic/Center
  • Doral, FL
National Provider Identifier
1154641678
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
MM24928 Issued in FL
Legal business name
JUSTIN MEDICAL SERVICES,INC
Practice address
3900 NW 79TH Ave Ste 559
Doral, FL 33166-6562
Phone
(305) 640-9601
Fax
(305) 640-9616
NPI assigned
Jun 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Authorized official

Name
Mr. Juan F Lopez, MA
Title
Owner
Phone
(305) 640-9601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MM24928 FL Primary

Addresses

Primary practice location

3900 NW 79TH Ave Ste 559
Doral, FL 33166-6562

Mailing address

3900 NW 79TH Ave Ste 559
Doral, FL 33166-6562
Phone (305) 640-9601

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1154641678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 559",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666562",
            "telephone_number": "305-640-9601",
            "fax_number": "305-640-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 559",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666562",
            "telephone_number": "305-640-9601",
            "fax_number": "305-640-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN MEDICAL SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-640-9601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MM24928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.