DG Services Professional

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

MA59040 Issued in FL

Legal business name

DG SERVICES PROFESSIONAL

Practice address

2955 NE 190TH St
#101
Aventura, FL 33180-4912

Phone

(786) 320-0743

NPI assigned

Nov 30, 2011

Last updated

Nov 30, 2011By 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

Mr. Dafne H Sanchez II, MT

Title

Owner

Phone

(786) 320-0743

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1740557024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650544",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332650544",
            "telephone_number": "786-320-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 NE 190TH ST",
            "address_2": "#101",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331804912",
            "telephone_number": "786-320-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DG SERVICES PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "DAFNE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-320-0743",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "MA59040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Aventura, FL
• Providers in Aventura, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.