Active NPI
Jose Cintron Burgos, MSPT
- Physical Therapist
- Miami Lakes, FL
National Provider Identifier
1407192933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30329
- Practice address
- 8040 NW 95TH St Ste 223-224
Miami Lakes, FL 33016-2362 - Phone
- (941) 587-9386
- Fax
- (941) 587-9386
- NPI assigned
- Jan 3, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT30329 | FL | Primary |
Addresses
Primary practice location
8040 NW 95TH St Ste 223-224
Miami Lakes, FL 33016-2362
Mailing address
8040 NW 95TH St
Ste 223-224
Miami Lakes, FL 33016-2362
Phone (941) 587-9386
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT30329 | Other | FL | FL DOH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT30329 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Pablo Physical Medicine PSC | Current | Accepting new patients |
Locations
68 Calle Santa Cruz
Ste 603
Bayamon, PR 00961
Phone (787) 786-2469
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Bayamon, PR
- NPI 1679625131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1407192933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8040 NW 95TH ST",
"address_2": "STE 223-224",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330162362",
"telephone_number": "941-587-9386",
"fax_number": "305-675-7929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8040 NW 95TH ST STE 223-224",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330162362",
"telephone_number": "941-587-9386",
"fax_number": "941-587-9386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CINTRON BURGOS",
"first_name": "JOSE",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT30329",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL DOH",
"identifier": "PT30329",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.