Dynamic Physical Rehab Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DYNAMIC PHYSICAL REHAB INC

Practice address

4445 W 16TH Ave
Suite 500
Hialeah, FL 33012-7189

Phone

(305) 698-2260

Fax

(305) 698-2276

NPI assigned

May 14, 2012

Last updated

May 14, 2012By 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

Avellail Diaz Prieto

Title

President/Owner

Phone

(305) 698-2270

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1720347529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE",
            "address_2": "SUITE 500",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127189",
            "telephone_number": "305-698-2260",
            "fax_number": "305-698-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE",
            "address_2": "SUITE 500",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127189",
            "telephone_number": "305-698-2260",
            "fax_number": "305-698-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PHYSICAL REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "DIAZ PRIETO",
        "authorized_official_first_name": "AVELLAIL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-698-2270"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwellness Lab Corp
• Dy Medical Center Corp
• Dynamic Medical Supply USA Inc
• Dynamic Medical Supply USA Inc
• Dynamic Medical Supply USA Inc
• Dynamic Rehab Service
• E & B Medical Equipment Inc.
• E & E Medical Services Corp (Elbia's Pharmacy)
• E & F Home Care Services, Inc. (Achoy Home Care)
• E & JM Medical Equipment

• General Practice Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.