Organization Active NPI

Pain Doctor Center Inc

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1255602462
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
HCC9547 Issued in FL
Legal business name
PAIN DOCTOR CENTER INC
Practice address
5931 NW 173Rd Dr
Ste 7B
Hialeah, FL 33015-5106
Phone
(305) 823-4002
NPI assigned
Jan 19, 2012
Last updated
Jun 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Martin Valdes, MDNPI 1407032899
Title
President
Phone
(305) 823-4002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X HCC9547 FL Primary

Addresses

Primary practice location

5931 NW 173Rd Dr
Ste 7B
Hialeah, FL 33015-5106

Mailing address

5931 NW 173Rd Dr
Ste 7B
Hialeah, FL 33015-5106

National Provider Directory

National Provider Directory

Locations

5931 NW 173rd Dr
Ste 7B
Hialeah, FL 33015
Phone (305) 823-4002

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1255602462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 NW 173RD DR",
            "address_2": "STE 7B",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5931 NW 173RD DR",
            "address_2": "STE 7B",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155106",
            "telephone_number": "305-823-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN DOCTOR CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-823-4002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC9547",
            "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 Jun 26, 2012; 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.