Mia Therapy Pro Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MIA THERAPY PRO INC

Practice address

6165 SW 130TH Ave Apt 1310
Miami, FL 33183-5234

Phone

(786) 370-8729

Fax

(305) 830-9043

NPI assigned

Jan 2, 2020

Organization subpart

No

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

Authorized official

Name

Mauricio Oscar Gonzalez Reynaldo

Title

President

Phone

(786) 370-8729

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mauricio Oscar Gonzalez Reynaldo Sr., OTR/L

  • Occupational Therapist
  • Miami, FL
  • NPI 1962931717
  NPD

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1417596818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6165 SW 130TH AVE APT 1310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835234",
            "telephone_number": "786-370-8729",
            "fax_number": "305-830-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6165 SW 130TH AVE APT 1310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835234",
            "telephone_number": "786-370-8729",
            "fax_number": "305-830-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA THERAPY PRO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "REYNALDO",
        "authorized_official_first_name": "MAURICIO OSCAR",
        "authorized_official_middle_name": "GONZALEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-370-8729"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Eye Care Specialists LLC
• Mia Global Solutions Corp
• Mia Medical Supplies, Inc.
• Mia Mobile Imaging LLC
• Mia Pharmacy Discount Corp
• Mia Transportation & Logistics LLC
• Mia'S Adult Care Alf LLC
• Mia33Ah01 LLC
• Miabella Wellness & Spa Inc
• Miami ABA Institute

• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.