Florida Pain Treatment Center Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME42929 Issued in FL

Legal business name

FLORIDA PAIN TREATMENT CENTER INC

Practice address

11780 SW 89TH St
3Rd Floor
Miami, FL 33186-2181

Phone

(305) 260-9803

Fax

(305) 260-9298

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ruben Gonzalez, M.D.

Title

Medical Director

Phone

(305) 260-9803

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alfredo Gonzalez de Chavez

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1780139261
  Medicare reassignment Care Compare group NPD
• Ruben Gonzalez-Perez, M.D.

  • Interventional Pain Medicine Physician
  • Miami, FL
  • NPI 1710972328

  Specialist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1205023264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11780 SW 89TH ST",
            "address_2": "3RD FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862181",
            "telephone_number": "305-260-9803",
            "fax_number": "305-260-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11780 SW 89TH ST",
            "address_2": "3RD FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862181",
            "telephone_number": "305-260-9803",
            "fax_number": "305-260-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PAIN TREATMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-260-9803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME42929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida One Supply Inc
• Florida Optometric Physicians Network
• Florida Optometric Physicians Network
• Florida Orthopaedic Institute, Inc
• Florida Pace Centers, Inc.
• Florida Patient Care Corp
• Florida Personal Management LLC
• Florida Personal Management LLC
• Florida Personal Management LLC
• Florida Personal Management LLC

• Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.