Organization Active NPI

Omni Recovery Center

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1487320263
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Aug 20, 2021

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL https://omniathletecenter.janeapp.com/account Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.