Organization Active NPI

Tesla Diagnostics Corp

  • Physical Medicine & Rehabilitation Physician
  • Miami, FL
National Provider Identifier
1508398512
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
HCC10976 Issued in FL
Legal business name
TESLA DIAGNOSTICS CORP
Practice address
85 Grand Canal Dr Ste 209
Miami, FL 33144-2575
Phone
(786) 553-8229
NPI assigned
Mar 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Angel Parga
Title
Owner
Phone
(786) 553-8229

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X HCC10976 FL Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X HCC10976 FL

Addresses

Primary practice location

85 Grand Canal Dr Ste 209
Miami, FL 33144-2575

Mailing address

85 Grand Canal Dr
Suite 209
Miami, FL 33144-2561
Phone (786) 553-8229

Other names 1

  • Tesla Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

85 Grand Canal Dr
Ste 209
Miami, FL 33144
Phone (305) 263-8340

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508398512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 GRAND CANAL DR",
            "address_2": "SUITE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442561",
            "telephone_number": "786-553-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 GRAND CANAL DR STE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442575",
            "telephone_number": "786-553-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESLA DIAGNOSTICS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PARGA",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-553-8229"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "HCC10976",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC10976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tesla Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tesla Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 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.