St Jude Medical Center Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

MA44992 Issued in FL

Legal business name

ST JUDE MEDICAL CENTER INC

Practice address

2377 NW 2ND St
Miami, FL 33125-5207

Phone

(786) 486-7719

NPI assigned

Sep 16, 2009

Organization subpart

No

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

Authorized official

Name

Yenisleidys Perez, LMT

Title

President

Phone

(786) 486-7719

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1194058529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2377 NW 2ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255207",
            "telephone_number": "786-486-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 NW 2ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255207",
            "telephone_number": "786-486-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "YENISLEIDYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-486-7719",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MA44992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus St John, MD
• St Jude Adult Day Care LLC
• St Jude Home Health Care Corp
• St Jude Home, Inc
• St Jude Med and Rehab Care Inc
• St Jude Medical Equipment Corp
• St Jude Medical Group Corp
• St Jude Medical Group Corp
• St Jude Medical Group Corp
• Vasthie St Juste, PHARMACIST, PHARM.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.