Miami Rehab Center, Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

PT22682 Issued in FL

Legal business name

MIAMI REHAB CENTER, INC

Practice address

11300 NW 87TH CT
Suite # 157
Hialeah Gardens, FL 33018-4586

Phone

(786) 762-3915

Fax

(786) 762-3916

NPI assigned

May 15, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Luis Fernando Roa

Title

RPT

Phone

(786) 553-2002

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1073991568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 NW 87TH CT",
            "address_2": "SUITE # 157",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184586",
            "telephone_number": "786-762-3915",
            "fax_number": "786-762-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 NW 87TH CT",
            "address_2": "SUITE # 157",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184586",
            "telephone_number": "786-762-3915",
            "fax_number": "786-762-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI REHAB CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "ROA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "RPT",
        "authorized_official_telephone_number": "786-553-2002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "PT22682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "PT22682",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mialab
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• Migarau Medical Center Corp
• Enrique Milan Gonzalez, C-SA
• Chantal Miniet, RMHC
• Nayvis Miranda Aguero, APRN

• Rehabilitation Clinic/Center in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.