Organization
MIA THERAPY PRO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICIO OSCAR GONZALEZ REYNALDO (PRESIDENT)
(786) 370-8729
Entity
Organization
Contact information
Practice address
6165 SW 130TH AVE APT 1310, MIAMI, FL 33183-5234
(786) 370-8729
(305) 830-9043
Mailing address
6165 SW 130TH AVE APT 1310, MIAMI, FL 33183-5234
(786) 370-8729
(305) 830-9043
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/30/2025
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