Active NPI
Performance Rehab Center Inc
- Health Service Clinic/Center
- Hialeah, FL
National Provider Identifier
1053716456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- ME116074
- Legal business name
- PERFORMANCE REHAB CENTER INC
- Practice address
- 4355 W 16TH Ave Ste 211
Hialeah, FL 33012-7666 - Phone
- (305) 819-6286
- Fax
- (786) 359-4671
- NPI assigned
- Oct 28, 2014
- Last updated
- Oct 28, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rene Naranjo Jr., MA
- Title
- President
- Phone
- (305) 819-6286
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | ME116074 | FL | Primary |
Addresses
Primary practice location
4355 W 16TH Ave Ste 211
Hialeah, FL 33012-7666
Mailing address
4355 W 16TH Ave Ste 211
Hialeah, FL 33012-7666
Phone (305) 819-6286
National Provider Directory
National Provider DirectoryLocations
4355 W 16th Ave
Ste 211
Hialeah, FL 33012
Phone (305) 720-9253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414454400000",
"number": "1053716456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4355 W 16TH AVE STE 211",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330127666",
"telephone_number": "305-819-6286",
"fax_number": "786-359-4671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4355 W 16TH AVE STE 211",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330127666",
"telephone_number": "305-819-6286",
"fax_number": "786-359-4671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFORMANCE REHAB CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-28",
"last_updated": "2014-10-28",
"status": "A",
"authorized_official_last_name": "NARANJO",
"authorized_official_first_name": "RENE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-819-6286",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "FL",
"license": "ME116074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.