Organization Active NPI

Associates Rehab South LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Miami Gardens, FL
National Provider Identifier
1003975988
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
ASSOCIATES REHAB SOUTH LLC
Practice address
5190 NW 167TH St
Suite 302
Miami Gardens, FL 33014-6328
Phone
(305) 621-2116
NPI assigned
Dec 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Otto J Valdes
Title
Managing Member
Phone
(305) 621-2116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X FL Primary

Addresses

Primary practice location

5190 NW 167TH St
Suite 302
Miami Gardens, FL 33014-6328

Mailing address

5190 NW 167TH St
Suite 302
Miami Gardens, FL 33014-6328
Phone (305) 621-2116

National Provider Directory

National Provider Directory

Locations

5190 NW 167th St
Ste 302
Miami Lakes, FL 33014
Phone (305) 621-2116

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003975988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST",
            "address_2": "SUITE 302",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330146328",
            "telephone_number": "305-621-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST",
            "address_2": "SUITE 302",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330146328",
            "telephone_number": "305-621-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES REHAB SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "305-621-2116"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.