Organization Active NPI

Performance Rehab Center Inc

  • Health Service Clinic/Center
  • Hialeah, FL
National Provider Identifier
1053716456
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME116074 Issued in FL
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.