Organization Active NPI

Basic Treatment Center Corp

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1790874592
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
599171-7 Issued in FL
Legal business name
BASIC TREATMENT CENTER CORP
Practice address
1051 W 29TH St
Suite 2
Hialeah, FL 33012-5057
Phone
(786) 237-1715
Fax
(305) 631-1180
NPI assigned
Oct 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rafael Rodriguez
Title
President
Phone
(786) 237-1715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 599171-7 FL Primary

Addresses

Primary practice location

1051 W 29TH St
Suite 2
Hialeah, FL 33012-5057

Mailing address

1051 W 29TH St
Suite 2
Hialeah, FL 33012-5057
Phone (786) 237-1715

National Provider Directory

National Provider Directory

Locations

1051 W 29th St
Ste 2
Hialeah, FL 33012
Phone (305) 887-2659

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790874592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 W 29TH ST",
            "address_2": "SUITE 2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125057",
            "telephone_number": "786-237-1715",
            "fax_number": "305-631-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W 29TH ST",
            "address_2": "SUITE 2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125057",
            "telephone_number": "786-237-1715",
            "fax_number": "305-631-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC TREATMENT CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-237-1715"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "599171-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.