Organization Active NPI

Gables Rehab Center Corp

  • Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1043786007
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GABLES REHAB CENTER CORP
Practice address
3049 Cleveland Ave Ste 145
Fort Myers, FL 33901-7043
Phone
(786) 641-1312
NPI assigned
Oct 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
Octavio Rodriguez
Title
President
Phone
(786) 641-1312

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3049 Cleveland Ave Ste 145
Fort Myers, FL 33901-7043

Mailing address

5545 SW 8TH St Ste 204
Coral Gables, FL 33134-2286
Phone (786) 641-1312

National Provider Directory

National Provider Directory

Locations

3049 Cleveland Ave
Ste 145
Fort Myers, FL 33901
Phone (786) 641-1312

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1043786007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 SW 8TH ST STE 204",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342286",
            "telephone_number": "786-641-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 CLEVELAND AVE STE 145",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017043",
            "telephone_number": "786-641-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABLES REHAB CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-641-1312"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.