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Organization
HIPER LLC
Active
Organization
HIPER LLC
Active
Other names
GYMGUYZ CORAL GABLES
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES PRIMO GONZALEZ OWNER (CEO)
(305) 720-2501
Entity
Organization
Contact information
Practice address
9690 NW 41ST ST STE 3, DORAL, FL 33178-2448
(305) 720-2501
Mailing address
9690 NW 41ST ST STE 3, DORAL, FL 33178-2448
(305) 720-2501
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
225100000X
Physical Therapist
Primary
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184231581
NATIONAL PROVIDER IDENTIFICATION
FL
Enumeration date
09/29/2020
Last updated
11/02/2020
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