Organization Active NPI

Elite Med Center Corp

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1437773918
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ELITE MED CENTER CORP
Practice address
13155 SW 134TH St Ste 221
Miami, FL 33186-4489
Phone
(786) 701-3902
Fax
(786) 429-3947
NPI assigned
Jun 1, 2020
Last updated
Jul 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Julio Acosta
Title
Owner/President
Phone
(305) 326-3426

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

13155 SW 134TH St Ste 221
Miami, FL 33186-4489

Mailing address

13155 SW 134TH St Ste 221
Miami, FL 33186-4489
Phone (786) 701-3902

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1437773918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13155 SW 134TH ST STE 221",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864489",
            "telephone_number": "786-701-3902",
            "fax_number": "786-429-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13155 SW 134TH ST STE 221",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864489",
            "telephone_number": "786-701-3902",
            "fax_number": "786-429-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MED CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "305-326-3426"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.