Gaston Medical Center Corp

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GASTON MEDICAL CENTER CORP

Practice address

6500 Cow Pen Rd Ste 201
Miami Lakes, FL 33014-7620

Phone

(786) 518-3907

Fax

(786) 980-3907

NPI assigned

Jul 7, 2022

Organization subpart

No

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

Authorized official

Name

Alexis RodriguezNPI 1114596780

Title

President

Phone

(786) 518-3907

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Locations

Practitioners 1

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

• Alexis Rodriguez

  • Physical Therapy Clinic/Center
  • Miami Lakes, FL
  • NPI 1114596780
  NPD Authorized official

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1295468247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 COW PEN RD STE 201",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147620",
            "telephone_number": "786-518-3907",
            "fax_number": "786-980-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 COW PEN RD STE 201",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147620",
            "telephone_number": "786-518-3907",
            "fax_number": "786-980-3907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7719 NW 48th St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331665471",
            "country_code": "US",
            "telephone_number": "305-912-0283",
            "fax_number": "305-912-0284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GASTON MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-518-3907"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "12709",
            "identifier": "861729510",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "care@gastonmedicalcenter.com",
            "affiliation": "N",
            "address_1": "6500 Cow Pen Rd Ste 201",
            "city": "Miami Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330147620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "care@gastonmedicalcenter.com",
            "affiliation": "N",
            "address_1": "7719 NW 48th St Ste 320",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331665471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.