Organization Active NPI

Elite LD Therapy Services Inc

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1609644665
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ELITE LD THERAPY SERVICES INC
Practice address
17424 NW 63Rd CT
Hialeah, FL 33015-4485
Phone
(786) 587-3684
NPI assigned
Dec 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Liset Diaz
Title
Owner
Phone
(786) 587-3684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

17424 NW 63Rd CT
Hialeah, FL 33015-4485

Mailing address

17424 NW 63Rd CT
Hialeah, FL 33015-4485
Phone (786) 587-3684

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1609644665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17424 NW 63RD CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154485",
            "telephone_number": "786-587-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17424 NW 63RD CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154485",
            "telephone_number": "786-587-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE LD THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "LISET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-587-3684"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Dec 19, 2023; 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.