NPIMap

Organization Active NPI

Promed Healthcare Clinic LLC

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1982319695
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PROMED HEALTHCARE CLINIC LLC
Practice address
9370 SW 72ND St Ste A150
Miami, FL 33173-5461
Phone
(305) 639-8095
NPI assigned
Jan 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Magaly Travieso, ARNPNPI 1508343492
Title
Ceo
Phone
(305) 639-8095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

9370 SW 72ND St Ste A150
Miami, FL 33173-5461

Mailing address

9370 SW 72ND St Ste A150
Miami, FL 33173-5461
Phone (305) 639-8095

Other names 1

  • Promed healthcare clinic LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Promed Healthcare Clinic LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1982319695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 SW 72ND ST STE A150",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735461",
            "telephone_number": "305-639-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 SW 72ND ST STE A150",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735461",
            "telephone_number": "305-639-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED HEALTHCARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "TRAVIESO",
        "authorized_official_first_name": "MAGALY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-639-8095",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promed healthcare clinic LLC",
            "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 Jan 17, 2023; 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.