North Memorial Center Corp

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NORTH MEMORIAL CENTER CORP

Practice address

2500 NW 79TH Ave Ste 237
Doral, FL 33122-1086

Phone

(786) 502-3187

Fax

(786) 360-3982

NPI assigned

Sep 10, 2019

Organization subpart

No

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

Authorized official

Name

Diuvys Rodriguez Porro

Title

Owner

Phone

(305) 798-5329

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1528617602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 237",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221086",
            "telephone_number": "786-502-3187",
            "fax_number": "786-360-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 237",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221086",
            "telephone_number": "786-502-3187",
            "fax_number": "786-360-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MEMORIAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ PORRO",
        "authorized_official_first_name": "DIUVYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-798-5329"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.