Organization Active NPI

Ocean Blue Rehab Inc

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1063566040
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OCEAN BLUE REHAB INC
Practice address
8080 W Flagler St
Suite 3a
Miami, FL 33144-2100
Phone
(786) 235-0363
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ismael Prieto
Title
President
Phone
(786) 235-0363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8080 W Flagler St
Suite 3a
Miami, FL 33144-2100

Mailing address

8080 W Flagler St
Suite 3a
Miami, FL 33144-2100
Phone (786) 235-0363

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063566040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 W FLAGLER ST",
            "address_2": "SUITE 3A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442100",
            "telephone_number": "786-235-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 W FLAGLER ST",
            "address_2": "SUITE 3A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442100",
            "telephone_number": "786-235-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN BLUE REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-235-0363"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 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.