Crystal-Joint Therapy Solutions Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME91436 Issued in FL

Legal business name

CRYSTAL-JOINT THERAPY SOLUTIONS INC

Practice address

3750 W 16TH Ave Ste 240U
Hialeah, FL 33012-4665

Phone

(305) 848-6376

Fax

(866) 553-1734

NPI assigned

Mar 21, 2013

Organization subpart

No

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

Authorized official

Name

Giannys Mato

Title

Owner

Phone

(305) 848-6376

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1760724355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE STE 240U",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124665",
            "telephone_number": "305-848-6376",
            "fax_number": "866-553-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE STE 240U",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124665",
            "telephone_number": "305-848-6376",
            "fax_number": "866-553-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL-JOINT THERAPY SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "MATO",
        "authorized_official_first_name": "GIANNYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-848-6376"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME28850",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME91436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Sep 25, 2015; 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.