Organization Active NPI

Maravillas Rehabilitation Center LLC

  • Physical Therapy Clinic/Center
  • Doral, FL
National Provider Identifier
1013683879
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MARAVILLAS REHABILITATION CENTER LLC
Practice address
7715 NW 49 St
350 B
Doral, FL 33166
Phone
(786) 241-2547
NPI assigned
Aug 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Walter Guitierrez
Title
Ownner
Phone
(786) 793-0257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7715 NW 49 St
350 B
Doral, FL 33166

Mailing address

7715 NW 49 St
350 B
Doral, FL 33166

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1013683879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 NW 49 ST",
            "address_2": "350 B",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 NW 49 ST",
            "address_2": "350 B",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "786-241-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARAVILLAS REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "GUITIERREZ",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNNER",
        "authorized_official_telephone_number": "786-793-0257"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.