Organization Active NPI

Genesis Medical Center Corp

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1376270462
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GENESIS MEDICAL CENTER CORP
Practice address
7171 Coral Way
Miami, FL 33155-1449
Phone
(305) 518-7617
NPI assigned
Aug 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Yariana Gonzalez
Title
Owner
Phone
(305) 518-7617

Specialties & licenses 1

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

Addresses

Primary practice location

7171 Coral Way
Miami, FL 33155-1449

Mailing address

7171 Coral Way
Miami, FL 33155-1449
Phone (305) 518-7617

Other identifiers 1

IdentifierTypeStateIssuer
88322741OtherFLMEDICAL OFFICE

Other names 1

  • GENESIS MEDICAL CENTER CORP Other name

National Provider Directory

National Provider Directory
Tax ID family
Genesis Medical Center2 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.

Locations

7171 SW 24th St
Miami, FL 33155
Phone (305) 518-7617

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1376270462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551449",
            "telephone_number": "305-518-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551449",
            "telephone_number": "305-518-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "YARIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-518-7617"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL OFFICE",
            "identifier": "88322741",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENESIS MEDICAL CENTER CORP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.