Harbor Bay Medical Center, Corp.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

HCC10419 Issued in FL

Legal business name

HARBOR BAY MEDICAL CENTER, CORP.

Practice address

3900 NW 79TH Ave Ste 509
Doral, FL 33166-6549

Phone

(786) 238-7771

Fax

(855) 299-0714

NPI assigned

Sep 10, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Carlos E Caballero

Title

President

Phone

(786) 274-0144

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1518335348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 509",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666549",
            "telephone_number": "786-238-7771",
            "fax_number": "855-299-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 509",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666549",
            "telephone_number": "786-238-7771",
            "fax_number": "855-299-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR BAY MEDICAL CENTER, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-274-0144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "HCC10419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.