Provider Demographics
NPI:1649967902
Name:ONYX MEDICAL GROUP INC
Entity type:Organization
Organization Name:ONYX MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ORTELIO
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-970-4447
Mailing Address - Street 1:1313 NW 36TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-5581
Mailing Address - Country:US
Mailing Address - Phone:786-254-7660
Mailing Address - Fax:786-536-2875
Practice Address - Street 1:1313 NW 36TH ST STE 100
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-5581
Practice Address - Country:US
Practice Address - Phone:786-254-7660
Practice Address - Fax:786-536-2875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation