Pentacle Rehabilitation Center Inc

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

ME62641 Issued in FL

Legal business name

PENTACLE REHABILITATION CENTER INC

Practice address

807 SW 25TH Ave
Ste 208
Miami, FL 33135-4873

Phone

(305) 642-2434

NPI assigned

Dec 9, 2008

Organization subpart

No

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

Authorized official

Name

Anibal Borroto

Title

President

Phone

(305) 642-2434

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1831334549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 SW 25TH AVE",
            "address_2": "STE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354873",
            "telephone_number": "305-642-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SW 25TH AVE",
            "address_2": "STE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354873",
            "telephone_number": "305-642-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENTACLE REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "BORROTO",
        "authorized_official_first_name": "ANIBAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-642-2434"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME62641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD",
            "identifier": "ME62641",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Penna, MD, PHD
• Ismelda Pennella Barraza
• Seandra M Pennie, BA
• Aisha Idona Pennyfeather
• Pentacare Health Network Corp
• Penton Medical Supplies Inc
• Silvana Penton Quevedo
• Amanda Penton, RBT
• Luis Miguel Penton
• Manuel M Penton, ATC

• Allergy & Immunology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.