NPIMap

Organization Active NPI

Extensive Services Corp

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1497024889
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HCC8806 Issued in FL
Legal business name
EXTENSIVE SERVICES CORP
Practice address
2721 SW 137TH Ave Ste 107
Miami, FL 33175-6355
Phone
(305) 228-1440
NPI assigned
Dec 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Manuela Borches
Title
President
Phone
(305) 228-1440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC8806 FL Primary

Addresses

Primary practice location

2721 SW 137TH Ave Ste 107
Miami, FL 33175-6355

Mailing address

2721 SW 137TH Ave Ste 107
Miami, FL 33175-6355

National Provider Directory

National Provider Directory
Tax ID family
Extensive Services Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1497024889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 SW 137TH AVE STE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 SW 137TH AVE STE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756355",
            "telephone_number": "305-228-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENSIVE SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "BORCHES",
        "authorized_official_first_name": "MANUELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-228-1440"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC8806",
            "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 Dec 14, 2011; 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.