Red Road Center of South Florida Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

RED ROAD CENTER OF SOUTH FLORIDA INC

Practice address

1350 SW 57TH Ave Ste 315
West Miami, FL 33144-5774

Phone

(786) 260-4727

NPI assigned

Feb 10, 2021

Organization subpart

No

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

Authorized official

Name

Maricela Gonzalez

Title

Owner

Phone

(305) 773-8173

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

M G Family Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Red Road Center of South Florida Inc

  • Home Health Agency
  • West Miami, FL
  • NPI 1194529230
  NPD tax ID

Practitioners 3

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

• Omar Abreu-Pino, ARNP

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1891190526
  Medicare reassignment NPD
• Celestino Mario Labori Carda, NP

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1437985991
  Medicare reassignment NPD
• Juan Carlos Ruiz Bergon, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1457968968

  Single Specialty

  NPD

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1851983993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SW 57TH AVE STE 315",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SW 57TH AVE STE 315",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445774",
            "telephone_number": "786-260-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROAD CENTER OF SOUTH FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARICELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-773-8173"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Rabassa
• Aylin Rabi
• Radiology Mobil Center, Inc
• Real Rehabilitation Services Inc
• Red Road Center of South Florida Inc
• Antonio J Reyes, MD
• Claudia Andrea Reyes, LMT
• Sofia Isabel Ricardo, PSYD
• Rima Medical Center Inc
• Juan Joseph Rivera

• General Practice Physician in West Miami, FL
• Providers in West Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.