Starshine Medical Center Corp

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

MA45836 Issued in FL

Legal business name

STARSHINE MEDICAL CENTER CORP

Practice address

8181 NW 36TH St
Suite 8C
Doral, FL 33166-6671

Phone

(786) 817-5439

NPI assigned

Oct 3, 2016

Organization subpart

No

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

Authorized official

Name

Ivan De Jesus Martinez

Title

President

Phone

(786) 817-5439

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1851840896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH ST",
            "address_2": "SUITE 8C",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666671",
            "telephone_number": "786-817-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH ST",
            "address_2": "SUITE 8C",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666671",
            "telephone_number": "786-817-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARSHINE MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "DE JESUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-817-5439"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MA45836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Doral, 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 Oct 3, 2016; 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.