NPIMap

Organization Active NPI

Medical Therapy Center

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1487937884
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME 95227 Issued in FL
Legal business name
MEDICAL THERAPY CENTER
Practice address
890 SW 87TH Ave Ste 12
Miami, FL 33174-3245
Phone
(305) 559-0054
Fax
(305) 559-0053
NPI assigned
Sep 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Froilan MenaNPI 1790078046
Title
President
Phone
(305) 559-0054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X ME 95227 FL Primary

Addresses

Primary practice location

890 SW 87TH Ave Ste 12
Miami, FL 33174-3245

Mailing address

890 SW 87TH Ave Ste 12
Miami, FL 33174-3245
Phone (305) 559-0054

National Provider Directory

National Provider Directory

Locations

890 SW 87th Ave
Ste 12
Miami, FL 33174
Phone (305) 559-0054

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1487937884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 SW 87TH AVE STE 12",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743245",
            "telephone_number": "305-559-0054",
            "fax_number": "305-559-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 SW 87TH AVE STE 12",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743245",
            "telephone_number": "305-559-0054",
            "fax_number": "305-559-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "MENA",
        "authorized_official_first_name": "FROILAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-559-0054"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME 95227",
            "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 Aug 23, 2012; 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.