Organization Active NPI

Fisioterapia Hollywodd Medical

  • Clinic/Center
  • Hollywood, FL
National Provider Identifier
1851623573
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FISIOTERAPIA HOLLYWODD MEDICAL
Practice address
115 S 17TH Ave
Hollywood, FL 33020-6801
Phone
(954) 924-2507
Fax
(954) 924-2579
NPI assigned
Feb 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Teresa Guadalupe Uncal
Title
Vice President
Phone
(786) 271-7624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

115 S 17TH Ave
Hollywood, FL 33020-6801

Mailing address

115 S 17TH Ave
Hollywood, FL 33020-6801
Phone (954) 924-2507

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1851623573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S 17TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206801",
            "telephone_number": "954-924-2507",
            "fax_number": "954-924-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S 17TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206801",
            "telephone_number": "954-924-2507",
            "fax_number": "954-924-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISIOTERAPIA HOLLYWODD MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "UNCAL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "GUADALUPE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "786-271-7624"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.