NPIMap

Organization Active NPI

Xtreme Medical Center ,Corp

  • Rehabilitation Hospital
  • Miami, FL
National Provider Identifier
1912290131
Registry record updated May 20, 2011
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Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
MA58827 Issued in FL
Legal business name
XTREME MEDICAL CENTER ,CORP
Practice address
12809 SW 42ND St
Miami, FL 33175-3424
Phone
(305) 229-1589
NPI assigned
May 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Authorized official

Name
Miss Yanelys Fundora, LMT
Title
President
Phone
(305) 229-1589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X MA58827 FL Primary

Addresses

Primary practice location

12809 SW 42ND St
Miami, FL 33175-3424

Mailing address

12809 SW 42 St
Miami, FL 33189
Phone (305) 229-1589

Other names 1

  • xtreme medical center , corp Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1912290131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12809 SW 42 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33189",
            "telephone_number": "305-229-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12809 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753424",
            "telephone_number": "305-229-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTREME MEDICAL CENTER ,CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "FUNDORA",
        "authorized_official_first_name": "YANELYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-229-1589",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "FL",
            "license": "MA58827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "xtreme medical center , corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 20, 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.