Organization Active NPI

First Health Medical Group LLC

  • Geriatric Physical Therapist
  • Hialeah, FL
National Provider Identifier
1558237487
Registry record updated Oct 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
Legal business name
FIRST HEALTH MEDICAL GROUP LLC
Practice address
816 E 21St St
Hialeah, FL 33013-4219
Phone
(645) 207-3359
NPI assigned
Oct 16, 2025
Last updated
Oct 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2025

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

Authorized official

Name
Bernabel Diaz
Title
Owner
Phone
(645) 207-3359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251G0304X Primary

Addresses

Primary practice location

816 E 21St St
Hialeah, FL 33013-4219

Mailing address

816 E 21St St
Hialeah, FL 33013-4219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251215001594 FL Part B Supplier - Clinic/Group Practice 7416441647 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Springs, FL

National Provider Directory

National Provider Directory

Locations

4471 NW 36th St
Ste 226
Miami Springs, FL 33166
Phone (305) 495-4869

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760832000000",
    "number": "1558237487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 E 21ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330134219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 E 21ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330134219",
            "telephone_number": "645-207-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST HEALTH MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-19",
        "certification_date": "2025-10-19",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "BERNABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "645-207-3359"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.