Prestige Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PRESTIGE MEDICAL CENTER

Practice address

932 SW 82ND Ave
Miami, FL 33144-4240

Phone

(786) 360-3983

NPI assigned

Apr 26, 2010

Last updated

Apr 26, 2010By 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

Ivan Martinez

Title

Therapist

Phone

(786) 360-3983

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1437476801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 SW 82ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444240",
            "telephone_number": "786-360-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 SW 82ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444240",
            "telephone_number": "786-360-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "786-360-3983"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prestige Care Services LLC
• Prestige Child Therapy
• Prestige Health Network LLC
• Prestige Home Health Services, Corp
• Prestige Medical Care Inc
• Prestige Medical Office Inc.
• Prestige Medical Rehab Center Inc
• Prestige Medical Services Inc
• Prestige Medical Solutions (Prestige Behavioral Group)
• Prestige Medical Spa Inc

• 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 Apr 26, 2010; 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.