| Jl Physical Therapy Inc | |
|
8150 Sw 8th St Suite 212 Miami FL 33144-4263 | |
| (305) 261-2492 | |
| (305) 261-2468 |
| Full Name | Jl Physical Therapy Inc |
|---|---|
| Speciality | General Practice |
| Location | 8150 Sw 8th St, Miami, Florida |
| Authorized Official Name and Position | Jose A Menendez (PRESIDENT) |
| Authorized Official Contact | 3052212492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jl Physical Therapy Inc 8150 Sw 8 St Suite 212 Miami FL 33144 Ph: (305) 261-2492 | Jl Physical Therapy Inc 8150 Sw 8th St Suite 212 Miami FL 33144-4263 Ph: (305) 261-2492 |
| NPI Number | 1417187410 |
|---|---|
| Provider Enumeration Date | 07/24/2009 |
| Last Update Date | 08/27/2013 |
| Medicare PECOS PAC ID | 6305070798 |
|---|---|
| Medicare Enrollment ID | O20131018001174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417187410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 8451 (Florida) | Primary |
| Provider Name | Patricia Freire |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740231075 PECOS PAC ID: 5193621845 Enrollment ID: I20031211000891 |
| Provider Name | Iliana M Holguin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386694495 PECOS PAC ID: 1658368931 Enrollment ID: I20040428001074 |
| Provider Name | Robertson Baptista |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295835502 PECOS PAC ID: 4688699671 Enrollment ID: I20051010000115 |
| Provider Name | Mayloren Mendez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972911402 PECOS PAC ID: 8426366196 Enrollment ID: I20150929002203 |
| Provider Name | Martin Ball |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083641047 PECOS PAC ID: 0143524587 Enrollment ID: I20160216001344 |
| Provider Name | Linnet Valle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730426750 PECOS PAC ID: 1355594508 Enrollment ID: I20180605001828 |
| Provider Name | Imara A Paramo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992079123 PECOS PAC ID: 9638424880 Enrollment ID: I20180612002720 |
| Provider Name | Luis J. Guzman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144735705 PECOS PAC ID: 3577827807 Enrollment ID: I20180822002231 |
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