Prestige Therapy

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MA42961 Issued in FL

Legal business name

PRESTIGE THERAPY

Practice address

951 SW 122ND Ave
Miami, FL 33184-2406

Phone

(305) 381-5150

Fax

(305) 381-5150

NPI assigned

Sep 10, 2014

Organization subpart

No

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

Authorized official

Name

Manuel Moreno, MA42961

Title

President

Phone

(305) 381-5150

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1720489677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 SW 122ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842406",
            "telephone_number": "305-381-5150",
            "fax_number": "305-381-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 SW 122ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842406",
            "telephone_number": "305-381-5150",
            "fax_number": "305-381-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-381-5150",
        "authorized_official_credential": "MA42961"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MA42961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prestige Medical Systems
• Prestige Medical Systems
• Prestige Nursing Care Inc
• Prestige Professional Service Corp
• Prestige Rehabilitation Center, Inc
• Prestigious Mental Wellness
• Rodolfo Prestinary Esquivel
• Richard A Preston, MD, MBA
• Nicole-Ann Maria Prestwidge, PA-C
• Dumi Presuma, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.