Individual provider Active NPI

Aniceto Reynel Cabrera Delgado, PTA

  • Physical Therapy Assistant
  • Miami, FL
National Provider Identifier
1609360627
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA28459 Issued in FL
Practice address
7762 N Kendall Dr
Miami, FL 33156-7523
Phone
(305) 598-0229
NPI assigned
Jun 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA28459 FL Primary

Addresses

Primary practice location

7762 N Kendall Dr
Miami, FL 33156-7523

Mailing address

12508 S 110 Canal St Rd
Miami, FL 33186-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA28459FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cora Health Services, Inc Past Accepting new patients
Cora Health Services Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1609360627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 S 110 CANAL ST RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331860000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7762 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567523",
            "telephone_number": "305-598-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA DELGADO",
        "first_name": "ANICETO",
        "middle_name": "REYNEL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA28459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 22, 2018; 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.