Professional Medical GRP Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PROFESSIONAL MEDICAL GRP INC

Practice address

10686 SW 24TH St
Miami, FL 33165-7917

Phone

(305) 553-5140

Fax

(305) 553-5150

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jose Iribarren

Title

Administrator

Phone

(305) 553-5140

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831228634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10686 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657917",
            "telephone_number": "305-553-5140",
            "fax_number": "305-553-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10686 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657917",
            "telephone_number": "305-553-5140",
            "fax_number": "305-553-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL GRP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IRIBARREN",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-553-5140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Home Health Care, Inc.
• Professional Images Services Inc
• Professional Massage Rehab Center, Corp.
• Professional Massage& Theraphy Inc.
• Professional Medical Equipment Services, Inc.
• Professional Medical Practice
• Professional Medical Services,Inc
• Professional Mobile Diagnostic Services
• Professional Nurses Homecare, Inc.
• Professional Nursing and Health Care Center Corp

• Physical Therapy Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapy Clinic/Center in Florida

• 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.