Dynamic Professional Treatments Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC8364 Issued in FL

Legal business name

DYNAMIC PROFESSIONAL TREATMENTS CORP

Practice address

2470 SW 137TH Ave
Miami, FL 33175-6330

Phone

(786) 419-0697

Fax

(305) 675-2668

NPI assigned

Jul 15, 2010

Last updated

Jul 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yoandra Acosta

Title

President

Phone

(786) 419-0697

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1568775963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756330",
            "telephone_number": "786-419-0697",
            "fax_number": "305-675-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756330",
            "telephone_number": "786-419-0697",
            "fax_number": "305-675-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PROFESSIONAL TREATMENTS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "YOANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-419-0697"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC8364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA HCC UNIT EXEMPT",
            "identifier": "FILE 8642",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dynamic Medical Group of Coral Way
• Dynamic Medical Research, LLC.
• Dynamic Medical Services Inc
• Dynamic Motion Rehab Center
• Dynamic Physical Rehab Centers, Corp.
• Dynamic Psychiatry Inc
• Dynamic Rehab Health Center
• Dynamic Rehab Health Center Corp
• Dynamic Wellnes, Inc.
• Dynamic Wellness Center, LLC

• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.