Power G Medical Center, Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC9429 Issued in FL

Legal business name

POWER G MEDICAL CENTER, CORP

Practice address

14160 Palmetto Frontage Rd
Suite 100
Miami Lakes, FL 33016

Phone

(305) 822-9108

Fax

(305) 822-9028

NPI assigned

Jan 31, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Osvaldo Avila

Title

President

Phone

(305) 822-9108

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1619249018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14160 PALMETTO FRONTAGE RD",
            "address_2": "SUITE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "305-822-9108",
            "fax_number": "305-822-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14160 PALMETTO FRONTAGE RD",
            "address_2": "SUITE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "305-822-9108",
            "fax_number": "305-822-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER G MEDICAL CENTER, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-822-9108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC9429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA HCC UNIT",
            "identifier": "FILE 10006",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niurka Ponce
• Chagny Pons Granado, SLP
• Ana Marisol Popovits
• Maria Elena Porras, MS LMHC
• Power Alliance and Advocacy Corp
• Dagnes Pozo
• Yamila Prado Mojena
• Julio Prado, PA
• Prana ABA Therapy LLC
• Precious Minds Therapy Center LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.