NPIMap

Organization Active NPI

Omega Therapy Center, Inc.

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1851676613
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HCC9272 Issued in FL
Legal business name
OMEGA THERAPY CENTER, INC.
Practice address
175 Fontainebleau Blvd
Suite 2-A3
Miami, FL 33172-7018
Phone
(305) 220-2232
Fax
(305) 220-2262
NPI assigned
Oct 12, 2011
Last updated
Oct 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Alfonso Mor
Title
President
Phone
(305) 220-2232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC9272 FL Primary

Addresses

Primary practice location

175 Fontainebleau Blvd
Suite 2-A3
Miami, FL 33172-7018

Mailing address

175 Fontainebleau Blvd
Suite 2-A3
Miami, FL 33172-7018
Phone (305) 220-2232

Other identifiers 1

IdentifierTypeStateIssuer
HCC9272OtherFLACHA LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1851676613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD",
            "address_2": "SUITE 2-A3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727018",
            "telephone_number": "305-220-2232",
            "fax_number": "305-220-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD",
            "address_2": "SUITE 2-A3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727018",
            "telephone_number": "305-220-2232",
            "fax_number": "305-220-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "MOR",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-220-2232"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC9272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACHA LICENSE",
            "identifier": "HCC9272",
            "state": "FL"
        }
    ],
    "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 Oct 12, 2011; 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.