Active NPI
Froilan Mena, MA 61298
- Physical Therapy Clinic/Center
- Miami, FL
National Provider Identifier
1790078046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- MM26964
- Practice address
- 890 SW 87TH Ave Ste 12
Miami, FL 33174-3245 - Phone
- (305) 559-0054
- Fax
- (305) 559-0053
- NPI assigned
- May 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | MM26964 | FL | Primary |
Addresses
Primary practice location
890 SW 87TH Ave Ste 12
Miami, FL 33174-3245
Mailing address
890 SW 87TH Ave Ste 12
Miami, FL 33174-3245
Phone (305) 559-0054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MM26964 | FL | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Therapy Center | Physical Therapy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305763200000",
"number": "1790078046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 SW 87TH AVE STE 12",
"city": "MIAMI",
"state": "FL",
"postal_code": "331743245",
"telephone_number": "305-559-0054",
"fax_number": "305-559-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 SW 87TH AVE STE 12",
"city": "MIAMI",
"state": "FL",
"postal_code": "331743245",
"telephone_number": "305-559-0054",
"fax_number": "305-559-0053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENA",
"first_name": "FROILAN",
"name_prefix": "Mr.",
"credential": "MA 61298",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-19",
"last_updated": "2011-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "MM26964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.