Organization Active NPI

BTW Providers, LLC

  • Physical Medicine & Rehabilitation Physician
  • Hialeah, FL
National Provider Identifier
1194946806
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
HCC7163 Issued in FL
Legal business name
BTW PROVIDERS, LLC
Practice address
8080 NW 155TH St
Hialeah, FL 33016-5880
Phone
(786) 507-1600
Fax
(786) 507-1610
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Luis Enrique Gonzalez Jr.
Title
President
Phone
(786) 507-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X HCC7163 FL Primary

Addresses

Primary practice location

8080 NW 155TH St
Hialeah, FL 33016-5880

Mailing address

8080 NW 155TH St
Hialeah, FL 33016-5880
Phone (786) 507-1600

National Provider Directory

National Provider Directory

Locations

8080 NW 155th St
Miami Lakes, FL 33016
Phone (786) 507-1600

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194946806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 NW 155TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165880",
            "telephone_number": "786-507-1600",
            "fax_number": "786-507-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 NW 155TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165880",
            "telephone_number": "786-507-1600",
            "fax_number": "786-507-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BTW PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-507-1600",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "HCC7163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.