Organization Active NPI

Great Professional Center Inc

  • Health Service Clinic/Center
  • Hialeah, FL
National Provider Identifier
1205179199
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HCC10489 Issued in FL
Legal business name
GREAT PROFESSIONAL CENTER INC
Practice address
1140 W 50TH St Ste 402
Hialeah, FL 33012-3439
Phone
(305) 828-6528
Fax
(305) 828-6529
NPI assigned
Mar 29, 2013
Last updated
Mar 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Authorized official

Name
Mr. Humberto Martinez, M.A
Title
Massage Therapist
Phone
(305) 828-6528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC10489 FL Primary

Addresses

Primary practice location

1140 W 50TH St Ste 402
Hialeah, FL 33012-3439

Mailing address

1140 W 50TH St Ste 402
Hialeah, FL 33012-3439
Phone (305) 828-6528

National Provider Directory

National Provider Directory
Tax ID family
Great Professional Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1205179199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W 50TH ST STE 402",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123439",
            "telephone_number": "305-828-6528",
            "fax_number": "305-828-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W 50TH ST STE 402",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123439",
            "telephone_number": "305-828-6528",
            "fax_number": "305-828-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PROFESSIONAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "305-828-6528",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC10489",
            "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 Mar 29, 2013; 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.