NPIMap

Organization Active NPI

Pulyterapia Spa Corp

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Miami, FL
National Provider Identifier
1902174683
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
MA-65381 Issued in FL
Legal business name
PULYTERAPIA SPA CORP
Practice address
9369 Fountainbleau Blvd Apt J108
Miami, FL 33172-5629
Phone
(786) 970-2542
Fax
(786) 275-4132
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Mrs. Judith Mourino, MA
Title
President
Phone
(786) 970-2542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X MA-65381 FL Primary

Addresses

Primary practice location

9369 Fountainbleau Blvd Apt J108
Miami, FL 33172-5629

Mailing address

9369 Fountainbleau Blvd Apt J108
Miami, FL 33172-5629
Phone (786) 970-2542

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1902174683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9369 FOUNTAINBLEAU BLVD APT J108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331725629",
            "telephone_number": "786-970-2542",
            "fax_number": "786-275-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9369 FOUNTAINBLEAU BLVD APT J108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331725629",
            "telephone_number": "786-970-2542",
            "fax_number": "786-275-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULYTERAPIA SPA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "MOURINO",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-970-2542",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": "MA-65381",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 8, 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.