Active NPI
J. B Diagnostic Center Inc
- Physical Therapy Clinic/Center
- Miami, FL
National Provider Identifier
1821216177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- MM14947
- Legal business name
- J. B DIAGNOSTIC CENTER INC
- Practice address
- 4995 NW 72ND Ave .Suite # 405
Miami, FL 33166-5643 - Phone
- (305) 629-8010
- Fax
- (305) 629-8025
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jose Luis Borrego
- Title
- Owner
- Phone
- (305) 629-8010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | MM14947 | FL | Primary |
Addresses
Primary practice location
4995 NW 72ND Ave .Suite # 405
Miami, FL 33166-5643
Mailing address
3305 W 13TH Ave
Hialeah, FL 33012
Phone (305) 525-3903
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Physiological Laboratory
- Delray Beach, FL
- NPI 1205258480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1821216177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3305 W 13TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33012",
"telephone_number": "305-525-3903",
"fax_number": "305-629-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4995 NW 72ND AVE .SUITE # 405",
"city": "MIAMI",
"state": "FL",
"postal_code": "331665643",
"telephone_number": "305-629-8010",
"fax_number": "305-629-8025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J. B DIAGNOSTIC CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BORREGO",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "LUIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-629-8010",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "MM14947",
"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 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.