Blue Moon Medical Center Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BLUE MOON MEDICAL CENTER INC

Practice address

7715 NW 48TH St Ste 360B
Doral, FL 33166-5455

Phone

(786) 300-9963

Fax

(852) 036-6553

NPI assigned

Apr 8, 2022

Organization subpart

No

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

Authorized official

Name

Yariana Sanchez

Title

Owner

Phone

(786) 300-9963

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1467194696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 NW 48TH ST STE 360B",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665455",
            "telephone_number": "786-300-9963",
            "fax_number": "852-036-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 NW 48TH ST STE 360B",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665455",
            "telephone_number": "786-300-9963",
            "fax_number": "852-036-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MOON MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "YARIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-300-9963"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom Therapy Services LLC.
• Mark William Bloom, M.D.
• Blooming Bellies Doula & Birth Care Services LLC
• Blue Hi Group Inc
• Blue Horizon Home Health LLC
• Blue Moon Pharmacy & Discount Corp
• Blue Ribbon Orthotics LLC
• Bluegreen Behavioral Health Center, Inc
• Norman J Blum, MD
• Cesar Blumtritt, LMHC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.