OrganizationActive
Health Family Therapy, Inc
NPI 1114128675 · Pain Clinic/Center · Virginia Gardens, FL
Provider details
- NPI number
- 1114128675
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Pedro Mantilla, President(305) 871-3161
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Rehabilitation Clinic/Center261QR0400X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
6595 Nw 36th St
Suite# 112
Virginia Gardens, FL 33166-6979
Phone: (305) 871-3161
Fax: (305) 871-3162
Street-level locationGet directions
Mailing address
6595 Nw 36th St
Virginia Gardens, FL 33166-6979
Registry dates
- Enumerated
- 2007-05-30
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.