Organization Active NPI

One Family Clinic Corp

  • Physical Therapy Clinic/Center
  • Hialeah, FL
National Provider Identifier
1346751534
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ONE FAMILY CLINIC CORP
Practice address
1840 W 49TH St Ste 700
Hialeah, FL 33012-2962
Phone
(786) 817-2138
NPI assigned
Oct 16, 2017
Last updated
Oct 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Authorized official

Name
Ivan Martinez
Title
President
Phone
(786) 817-2138

Specialties & licenses 1

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

Addresses

Primary practice location

1840 W 49TH St Ste 700
Hialeah, FL 33012-2962

Mailing address

1840 W 49TH St Ste 700
Hialeah, FL 33012-2962

Other identifiers 1

IdentifierTypeStateIssuer
HCC11137OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1346751534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 700",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 700",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122962",
            "telephone_number": "786-817-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE FAMILY CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-817-2138"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "HCC11137",
            "state": "FL"
        }
    ],
    "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 Oct 16, 2017; 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.