Kendall Pain Management Center Corp

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

ME17657 Issued in FL

Legal business name

KENDALL PAIN MANAGEMENT CENTER CORP

Practice address

9260 Sunset Dr Ste 219
Miami, FL 33173-3255

Phone

(786) 616-8511

NPI assigned

Nov 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Fausto Pena Castillo

Title

President

Phone

(786) 616-8511

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1629475447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9260 SUNSET DR STE 219",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733255",
            "telephone_number": "786-616-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 SUNSET DR STE 219",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733255",
            "telephone_number": "786-616-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL PAIN MANAGEMENT CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "FAUSTO",
        "authorized_official_middle_name": "PENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-616-8511",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME17657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Opportunities Center Inc
• Kendall Optical
• Kendall Optical Center, Inc
• Kendall Oral Surgery
• Kendall Pain Center LLC
• Kendall Pediatrics
• Kendall Physical Therapy & Hand Rehabilitation Center LLC
• Kendall Prosthetics & Orthotics, Inc.
• Kendall Psychiatric Services LLC
• Kendall Psychiatry LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.