Organization Active NPI

Dragonfly307 Rehabilitation Center Corp

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1164144200
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DRAGONFLY307 REHABILITATION CENTER CORP
Practice address
8100 W Flagler St Ste 202
Miami, FL 33144-2155
Phone
(754) 286-9439
NPI assigned
Sep 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Mr. Walter Gutierrez
Title
Owner
Phone
(786) 608-0308

Specialties & licenses 1

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

Addresses

Primary practice location

8100 W Flagler St Ste 202
Miami, FL 33144-2155

Mailing address

8100 W Flagler St Ste 202
Miami, FL 33144-2155

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1164144200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 W FLAGLER ST STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 W FLAGLER ST STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442155",
            "telephone_number": "754-286-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY307 REHABILITATION CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-608-0308",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.