Innovative Solution Therapy LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INNOVATIVE SOLUTION THERAPY LLC

Practice address

9600 NW 25TH St Ste 3C
Doral, FL 33172-1416

Phone

(786) 963-9150

Fax

(786) 963-9218

NPI assigned

May 1, 2024

Organization subpart

No

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

Authorized official

Name

Floridalma Menjivar

Title

President

Phone

(305) 487-2532

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1437906161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 NW 25TH ST STE 3C",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721416",
            "telephone_number": "786-963-9150",
            "fax_number": "786-963-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 NW 25TH ST STE 3C",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721416",
            "telephone_number": "786-963-9150",
            "fax_number": "786-963-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SOLUTION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "MENJIVAR",
        "authorized_official_first_name": "FLORIDALMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-487-2532"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.