Pain Therapy Center, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC8992 Issued in FL

Legal business name

PAIN THERAPY CENTER, INC

Practice address

6501 NW 36TH St
Ste 414
Virginia Gardens, FL 33166-6959

Phone

(305) 871-6712

NPI assigned

Jun 23, 2011

Last updated

Jun 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gabriel Ortega Borges

Title

President

Phone

(305) 871-6712

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1952697427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 NW 36TH ST",
            "address_2": "STE 414",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666959",
            "telephone_number": "305-871-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 NW 36TH ST",
            "address_2": "STE 414",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666959",
            "telephone_number": "305-871-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN THERAPY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "ORTEGA BORGES",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-871-6712"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC8992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Virginia Gardens, FL
• Providers in Virginia Gardens, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.