Organization Active NPI

Doral Therapy Center, Corp

  • Physical Therapy Clinic/Center
  • Doral, FL
National Provider Identifier
1205077682
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
MA43912 Issued in FL
Legal business name
DORAL THERAPY CENTER, CORP
Practice address
3900 NW 79TH Ave Ste 559
Doral, FL 33166-6562
Phone
(305) 406-3650
Fax
(305) 406-3651
NPI assigned
Mar 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Ronald Sagarra
Title
President
Phone
(305) 406-3650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MA43912 FL Primary

Addresses

Primary practice location

3900 NW 79TH Ave Ste 559
Doral, FL 33166-6562

Mailing address

3900 NW 79TH Ave Ste 559
Doral, FL 33166-6562
Phone (305) 406-3650

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1205077682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 559",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666562",
            "telephone_number": "305-406-3650",
            "fax_number": "305-406-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 559",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666562",
            "telephone_number": "305-406-3650",
            "fax_number": "305-406-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL THERAPY CENTER, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "SAGARRA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-406-3650"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MA43912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

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