MIA THERAPY PRO INC NPI 1417596818

NPI Information

  • NPI: 1417596818
  • Provider Name: MIA THERAPY PRO INC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 6165 SW 130TH AVE APT 1310
    MIAMI, FL
    ZIP 33183
  • Phone: (786) 370-8729

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NPI Details

MIA THERAPY PRO INC is a clinic center in Miami, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MIA THERAPY PRO INC NPI is 1417596818. The provider is registered as an organization entity type.

The provider's business location address is:

6165 SW 130TH AVE APT 1310
MIAMI, FL
ZIP 33183-234
Phone: (786) 370-8729
Fax: (305) 830-9043

The provider's authorized official is Mauricio Oscar Gonzalez Reynaldo .
The authorized official title is President and has the following contact phone number (786) 370-8729.

The enumeration date for this NPI number is 1/2/2020 and was last updated on 1/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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