Premium Medical Center Inc

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

6181622 Issued in FL

Legal business name

PREMIUM MEDICAL CENTER INC

Practice address

704 Palm Ave
Hialeah, FL 33010-4318

Phone

(305) 863-6620

Fax

(305) 863-6732

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Juan Reyes

Title

Owner

Phone

(305) 863-6620

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437356276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104318",
            "telephone_number": "305-863-6620",
            "fax_number": "305-863-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104318",
            "telephone_number": "305-863-6620",
            "fax_number": "305-863-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-863-6620"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "6181622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Premium Group Center, Inc.
• Premium Home Health Services, LLC
• Premium Rehabilitation of Miami Inc
• Ricardo Presa Jr., COTA
• Prestiage Pharmacy and Medical Supplies Inc
• Prestige ABA Services LLC
• Prestige Behavioral Health Center Corp

• Rehabilitation Chiropractor in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Rehabilitation Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.