Provider Demographics
NPI: | 1184231581 |
---|---|
Name: | HIPER LLC |
Entity Type: | Organization |
Organization Name: | HIPER LLC |
Other - Org Name: | GYMGUYZ CORAL GABLES |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ANDRES |
Authorized Official - Middle Name: | PRIMO |
Authorized Official - Last Name: | GONZALEZ |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | OWNER |
Authorized Official - Phone: | 305-720-2501 |
Mailing Address - Street 1: | 9690 NW 41ST ST STE 3 |
Mailing Address - Street 2: | |
Mailing Address - City: | DORAL |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33178-2448 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 305-720-2501 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 9690 NW 41ST ST STE 3 |
Practice Address - Street 2: | |
Practice Address - City: | DORAL |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33178-2448 |
Practice Address - Country: | US |
Practice Address - Phone: | 305-720-2501 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-09-29 |
Last Update Date: | 2020-11-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | Group - Multi-Specialty | |
No | 133VN1004X | Dietary & Nutritional Service Providers | Dietitian, Registered | Nutrition, Pediatric | Group - Multi-Specialty |
No | 133VN1006X | Dietary & Nutritional Service Providers | Dietitian, Registered | Nutrition, Metabolic | Group - Multi-Specialty |
No | 133VN1201X | Dietary & Nutritional Service Providers | Dietitian, Registered | Nutrition, Obesity and Weight Management | Group - Multi-Specialty |
No | 133VN1501X | Dietary & Nutritional Service Providers | Dietitian, Registered | Nutrition, Sports Dietetics | Group - Multi-Specialty |
No | 2251G0304X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Geriatrics | Group - Multi-Specialty |
No | 2251S0007X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports | Group - Multi-Specialty |
No | 225XM0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Mental Health | Group - Multi-Specialty |
No | 225XP0019X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Physical Rehabilitation | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
FL | 1184231581 | Other | NATIONAL PROVIDER IDENTIFICATION |