Active NPI
Omni Recovery Center
- Clinic/Center
- Miami, FL
National Provider Identifier
1487320263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- OMNI RECOVERY CENTER
- Practice address
- 13111 SW 85TH Avenue Rd
Miami, FL 33156-6503 - Phone
- (786) 316-7550
- Fax
- (786) 429-1291
- NPI assigned
- Aug 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gabriella Marie Zuluaga
- Title
- Owner/Manager
- Phone
- (786) 732-7909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
13111 SW 85TH Avenue Rd
Miami, FL 33156-6503
Mailing address
13111 SW 85TH Avenue Rd
Miami, FL 33156-6503
Phone (786) 316-7550
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://omniathletecenter.janeapp.com/account | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629417600000",
"number": "1487320263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13111 SW 85TH AVENUE RD",
"city": "MIAMI",
"state": "FL",
"postal_code": "331566503",
"telephone_number": "786-316-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13111 SW 85TH AVENUE RD",
"city": "MIAMI",
"state": "FL",
"postal_code": "331566503",
"telephone_number": "786-316-7550",
"fax_number": "786-429-1291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMNI RECOVERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A",
"authorized_official_last_name": "ZULUAGA",
"authorized_official_first_name": "GABRIELLA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "786-732-7909"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://omniathletecenter.janeapp.com/account",
"affiliation": "N",
"endpointDescription": "patient account",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "website",
"address_1": "13111 SW 85th Avenue Rd",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331566503",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.