Organization Active NPI

Millenium Medical Center, Corp

  • Physical Medicine & Rehabilitation Physician
  • Miami, FL
National Provider Identifier
1225675622
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MILLENIUM MEDICAL CENTER, CORP
Practice address
2721 SW 137TH Ave Ste 118
Miami, FL 33175-6319
Phone
(786) 535-4863
Fax
(786) 535-4790
NPI assigned
Dec 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
Tania Gonzalez
Title
President
Phone
(786) 535-4863

Specialties & licenses 1

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

Addresses

Primary practice location

2721 SW 137TH Ave Ste 118
Miami, FL 33175-6319

Mailing address

2721 SW 137TH Ave Ste 118
Miami, FL 33175-6319
Phone (786) 535-4863

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1225675622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 SW 137TH AVE STE 118",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756319",
            "telephone_number": "786-535-4863",
            "fax_number": "786-535-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 SW 137TH AVE STE 118",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756319",
            "telephone_number": "786-535-4863",
            "fax_number": "786-535-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENIUM MEDICAL CENTER, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-535-4863"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.