Organization Active NPI

Pure Enterprises, LLC

  • Multi-Specialty Clinic/Center
  • North Miami Beach, FL
National Provider Identifier
1255873642
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PURE ENTERPRISES, LLC
Practice address
633 NE 167TH St
Suite 1125
North Miami Beach, FL 33162-2442
Phone
(305) 705-4375
NPI assigned
Nov 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Authorized official

Name
Mario Orduz, OWNER
Title
Owner
Phone
(305) 297-8583

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Rehabilitation Clinic/Center 261QR0400X 133840021301 FL

Addresses

Primary practice location

633 NE 167TH St
Suite 1125
North Miami Beach, FL 33162-2442

Mailing address

633 NE 167TH St
Suite 1125
North Miami Beach, FL 33162-2442
Phone (305) 705-4375

Other names 1

  • PURE BEGINNINGS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pure Beginnings2 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": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1255873642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 NE 167TH ST",
            "address_2": "SUITE 1125",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622442",
            "telephone_number": "305-705-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 NE 167TH ST",
            "address_2": "SUITE 1125",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622442",
            "telephone_number": "305-705-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "ORDUZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-297-8583",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "133840021301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PURE BEGINNINGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.