Source of Life, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

MA59149 Issued in FL

Legal business name

SOURCE OF LIFE, INC

Practice address

5500 SW 77TH CT Apt 301
Miami, FL 33155-4375

Phone

(786) 344-1998

NPI assigned

Nov 19, 2010

Last updated

Nov 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Pedro Sanchez, MA

Title

President

Phone

(786) 344-3001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1851693063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 W FLAGLER ST STE 301",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341643",
            "telephone_number": "305-644-2800",
            "fax_number": "305-644-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 SW 77TH CT APT 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554375",
            "telephone_number": "786-344-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE OF LIFE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-344-3001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MA59149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cinthya Daiana Soulary Estrada
• Sound and Color Acupuncture PA
• Sound Off Media Concepts, LLC (Advocate Care and Community Services, LLC)
• Sound Waves LLC
• Soundmind Wellness Center, LLC
• Orietta Sousa Alonso
• Lucy Sousa Brens de Luna
• Allen Sousa, OT
• Indyara Barreira Sousa
• South Bay Rehab Inc

• 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 Nov 19, 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.