Pelvic Care Specialists Corp

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27752 Issued in FL

Legal business name

PELVIC CARE SPECIALISTS CORP

Practice address

15485 Eagle Nest LN Ste 120
Miami Lakes, FL 33014-2221

Phone

(305) 417-0158

Fax

(305) 602-8929

NPI assigned

Jul 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gloria P Choperena, DPTNPI 1992044010

Title

Doctor of Physical Therapy

Phone

(305) 417-0158

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria Patricia Choperena, DPT

  • Physical Therapist
  • Miami Lakes, FL
  • NPI 1992044010
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1265817563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15485 EAGLE NEST LN STE 120",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142221",
            "telephone_number": "305-417-0158",
            "fax_number": "305-602-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15485 EAGLE NEST LN STE 120",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142221",
            "telephone_number": "305-417-0158",
            "fax_number": "305-602-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVIC CARE SPECIALISTS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "CHOPERENA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "305-417-0158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008147100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mireya Pedraza Polanco
• Merlyn Pedraza
• Saibelys Pedraza
• Kimberly Kay Pedrero, RN
• Pedro Bayona MD PLLC
• Ana Iris Pena Labrada
• Aldrys Nicole Pena
• Francisco Alberto Pena Jr., LMHC
• Grisel Pena
• Magda Marlene Pena

• Physical Therapist in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.