Organization Active NPI

NB Sports Massage and Rehab.Corp

  • Clinic/Center
  • Doral, FL
National Provider Identifier
1245520618
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MA58987 Issued in FL
Legal business name
NB SPORTS MASSAGE AND REHAB.CORP
Practice address
1200 NW 78TH Ave
Ste 212
Doral, FL 33126-1835
Phone
(305) 597-3909
Fax
(305) 597-3903
NPI assigned
Apr 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Jorge Luis Valiente, LMT
Title
President
Phone
(305) 597-3909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MA58987 FL Primary

Addresses

Primary practice location

1200 NW 78TH Ave
Ste 212
Doral, FL 33126-1835

Mailing address

1200 NW 78TH Ave
Ste 212
Doral, FL 33126
Phone (305) 597-3909

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1245520618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NW 78TH AVE",
            "address_2": "STE 212",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "305-597-3909",
            "fax_number": "305-597-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW 78TH AVE",
            "address_2": "STE 212",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261835",
            "telephone_number": "305-597-3909",
            "fax_number": "305-597-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NB SPORTS MASSAGE AND REHAB.CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "VALIENTE",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-597-3909",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MA58987",
            "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 Apr 19, 2011; 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.