St George Health Partners Corp

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ST GEORGE HEALTH PARTNERS CORP

Practice address

434 SW 12TH Ave Ste 201
Miami, FL 33130-2432

Phone

(786) 860-5156

NPI assigned

Feb 27, 2020

Last updated

Feb 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Otto Elcoro

Title

Owner

Phone

(786) 446-6316

Specialties & licenses 1

Addresses

Other names 1

• ST GEORGE HEALTH PARTNERS CORP Former legal business name

Locations

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1396379426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 SW 12TH AVE STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302432",
            "telephone_number": "786-860-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 SW 12TH AVE STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302432",
            "telephone_number": "786-860-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GEORGE HEALTH PARTNERS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "ELCORO",
        "authorized_official_first_name": "OTTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-446-6316",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST GEORGE HEALTH PARTNERS CORP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Physical Medicine & Rehabilitation Physician in Miami, FL
• Providers in Miami, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.