Organization Active NPI

Medical Rehab Center, Corp

  • Physical Therapy Clinic/Center
  • Doral, FL
National Provider Identifier
1063876712
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
MA42951 Issued in FL
Legal business name
MEDICAL REHAB CENTER, CORP
Practice address
8181 NW 36TH St
Suite 1003
Doral, FL 33166-6671
Phone
(786) 817-5439
Fax
(305) 463-9369
NPI assigned
Apr 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
Manuel F Moreno
Title
President
Phone
(786) 817-5439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MA42951 FL Primary

Addresses

Primary practice location

8181 NW 36TH St
Suite 1003
Doral, FL 33166-6671

Mailing address

8181 NW 36TH St
Suite 1003
Doral, FL 33166-6671
Phone (786) 817-5439

National Provider Directory

National Provider Directory

Locations

8181 NW 36th St
Ste 1003
Doral, FL 33166
Phone (786) 817-5439

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1063876712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH ST",
            "address_2": "SUITE 1003",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666671",
            "telephone_number": "786-817-5439",
            "fax_number": "305-463-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH ST",
            "address_2": "SUITE 1003",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666671",
            "telephone_number": "786-817-5439",
            "fax_number": "305-463-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL REHAB CENTER, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-817-5439"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MA42951",
            "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 Apr 8, 2016; 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.