NPIMap

Organization Active NPI

Advanced Pain Management and Rehabilitation Center Inc

  • Rehabilitation Clinic/Center
  • Tampa, FL
National Provider Identifier
1205069754
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
HCC7529 Issued in FL
Legal business name
ADVANCED PAIN MANAGEMENT AND REHABILITATION CENTER INC
Practice address
4600 N Habana Ave
Suite 19a
Tampa, FL 33614-7112
Phone
(813) 443-5132
NPI assigned
Sep 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
Mr. Luis Consuegra
Title
Manager
Phone
(813) 443-5132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X HCC7529 FL Primary

Addresses

Primary practice location

4600 N Habana Ave
Suite 19a
Tampa, FL 33614-7112

Mailing address

4600 N Habana Ave
Suite 19a
Tampa, FL 33614-7112
Phone (813) 443-5132

National Provider Directory

National Provider Directory

Locations

4600 N Habana Ave
Ste 19A
Tampa, FL 33614
Phone (813) 443-5132

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1205069754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 N HABANA AVE",
            "address_2": "SUITE 19A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147112",
            "telephone_number": "813-443-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N HABANA AVE",
            "address_2": "SUITE 19A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147112",
            "telephone_number": "813-443-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN MANAGEMENT AND REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "CONSUEGRA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-443-5132",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "HCC7529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.