OrganizationActive
Supreme Recovery Inc
NPI 1053686139 · Physical Therapy Clinic/Center · Miami, FL
Provider details
- NPI number
- 1053686139
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Edurardo Gonzalez, President(786) 216-5570
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5420 Sw 133rd Ct
Miami, FL 33175-6149
Phone: (786) 246-0539
Fax: (786) 558-3382
Street-level locationGet directions
Mailing address
5420 Sw 133rd Ct
Miami, FL 33175-6149
Registry dates
- Enumerated
- 2012-03-21
- Last updated
- 2012-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.