Organization Active NPI

CVS Professional Services, LLC

  • Physical Therapy Clinic/Center
  • Homestead, FL
National Provider Identifier
1306880935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CVS PROFESSIONAL SERVICES, LLC
Practice address
12354 SW 299 Ter.
Homestead, FL 33032
Phone
(305) 303-5345
Fax
(305) 246-1194
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alfredo Villaverde Zayas
Title
Advisor
Phone
(305) 260-9177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

12354 SW 299 Ter.
Homestead, FL 33032

Mailing address

12354 SW 299 Terr.
Homestead, FL 33032
Phone (305) 303-5345

National Provider Directory

National Provider Directory

Locations

27869 S Dixie Hwy
Homestead, FL 33032
Phone (305) 245-8666

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306880935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12354 SW 299 TERR.",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33032",
            "telephone_number": "305-303-5345",
            "fax_number": "305-246-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12354 SW 299 TER.",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33032",
            "telephone_number": "305-303-5345",
            "fax_number": "305-246-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAYAS",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "VILLAVERDE",
        "authorized_official_title_or_position": "ADVISOR",
        "authorized_official_telephone_number": "305-260-9177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.