Five Star Medical Group Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

FIVE STAR MEDICAL GROUP INC

Practice address

4300 10TH Ave North
Suite 2
Lake Worth, FL 33461

Phone

(561) 335-3860

Fax

(561) 335-3845

NPI assigned

Sep 4, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jose Rivero

Title

Owner

Phone

(561) 335-3860

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Osvaldo Garcia

  • Physician Assistant
  • Hialeah, FL
  • NPI 1629735394
  Medicare reassignment

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1841849692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 10TH AVE NORTH",
            "address_2": "SUITE 2",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33461",
            "telephone_number": "561-335-3860",
            "fax_number": "561-335-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 10TH AVE NORTH",
            "address_2": "SUITE 2",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33461",
            "telephone_number": "561-335-3860",
            "fax_number": "561-335-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "RIVERO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-335-3860",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Health Chiropractic Group Inc
• Kyle Fisher, DPT
• Madeline Fisher
• Fishermen'S Way LLC
• Paula Natalia Fistein, LMHC
• Eileen M Flanagan, P.A.
• Marcy Ellen Flannery
• Madeline Fletcher
• Fabienne Fleuranvil Merise
• Guytembert Fleurimomd

• Rehabilitation Clinic/Center in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.