Universal Physical Medicine Associates Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

UNIVERSAL PHYSICAL MEDICINE ASSOCIATES INC

Practice address

160 NW 170TH St
1St Floor Rehab
North Miami Beach, FL 33169-5521

Phone

(954) 647-4904

NPI assigned

May 3, 2012

Last updated

May 9, 2017By 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

Ariel Inocentes, MDNPI 1518992106

Title

Owner

Phone

(954) 340-7041

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Universal Physical Medicine Associates Inc

  • Physical Medicine & Rehabilitation Physician
  • Hollywood, FL
  • NPI 1396997904

  O20081220000085

  Same enrollment

Tax ID family

Universal Physical Medicine Associates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Universal Physical Medicine Associates Inc

  • Physical Medicine & Rehabilitation Physician
  • Hollywood, FL
  • NPI 1396997904
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ariel Inocentes, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Parkland, FL
  • NPI 1518992106
  NPD Authorized official
• Mary Jean S. Deguzman, MD

  • Dermatopathology (Pathology) Physician
  • Pompano Beach, FL
  • NPI 1275518201
  NPD (past)

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1669730164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12596 NW 67TH DR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330761961",
            "telephone_number": "954-340-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW 170TH ST",
            "address_2": "1ST FLOOR REHAB",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695521",
            "telephone_number": "954-647-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL PHYSICAL MEDICINE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "INOCENTES",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-340-7041",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.