Organization Active NPI

Fenix Medical Center LLC

  • Physical Therapy Clinic/Center
  • Doral, FL
National Provider Identifier
1942878624
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FENIX MEDICAL CENTER LLC
Practice address
7715 NW 48TH St Ste 350
Doral, FL 33166-5473
Phone
(786) 603-4356
NPI assigned
Jun 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Walter Guitierre, ETC
Title
Onwer
Phone
(786) 603-4356

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7715 NW 48TH St Ste 350
Doral, FL 33166-5473

Mailing address

7715 NW 48TH St Ste 360
Doral, FL 33166-5474
Phone (786) 603-4356

Other names 1

  • FENIX MEDICAL CENTER LLC Other name

National Provider Directory

National Provider Directory

Locations

7715 NW 48th St
Ste 350
Doral, FL 33166
Phone (305) 767-5461

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1942878624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 NW 48TH ST STE 360",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665474",
            "telephone_number": "786-603-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 NW 48TH ST STE 350",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665473",
            "telephone_number": "786-603-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENIX MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "GUITIERRE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "786-603-4356",
        "authorized_official_credential": "ETC"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FENIX MEDICAL CENTER LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "FENIX MEDICAL CENTER LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "FENIX MEDICAL CENTER LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.