Organization Active NPI

Fernando Rivabem Medical and Rehab Center

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1013392158
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME79774 Issued in FL
Legal business name
FERNANDO RIVABEM MEDICAL AND REHAB CENTER
Practice address
8660 W Flagler St
Suite 209
Miami, FL 33144-2031
Phone
(305) 303-2917
NPI assigned
Jul 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Fernando Rivabem, MD
Title
Owner
Phone
(305) 303-2917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME79774 FL Primary

Addresses

Primary practice location

8660 W Flagler St
Suite 209
Miami, FL 33144-2031

Mailing address

8660 W Flagler St
Suite 209
Miami, FL 33144-2031
Phone (305) 303-2917

Other identifiers 1

IdentifierTypeStateIssuer
ME79774OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1013392158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 W FLAGLER ST",
            "address_2": "SUITE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442031",
            "telephone_number": "305-303-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 W FLAGLER ST",
            "address_2": "SUITE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442031",
            "telephone_number": "305-303-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO RIVABEM MEDICAL AND REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "RIVABEM",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-303-2917",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME79774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME79774",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.