Organization Active NPI

East Gables Rehab Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Miami, FL
National Provider Identifier
1083601454
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
EAST GABLES REHAB INC
Practice address
8346 SW 40TH St
Miami, FL 33155-3337
Phone
(305) 552-5210
Fax
(305) 552-5209
NPI assigned
Sep 30, 2005
Last updated
Aug 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Carlos M Izquierdo
Title
President
Phone
(305) 552-5210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

8346 SW 40TH St
Miami, FL 33155-3337

Mailing address

8346 SW 40TH St
Miami, FL 33155-3337
Phone (305) 552-5210

National Provider Directory

National Provider Directory

Locations

4160 W 16th Ave
Ste 101
Hialeah, FL 33012
Phone (305) 828-9965

8346 SW 40th St
Miami, FL 33155
Phone (305) 552-5210

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1083601454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8346 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553337",
            "telephone_number": "305-552-5210",
            "fax_number": "305-552-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8346 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553337",
            "telephone_number": "305-552-5210",
            "fax_number": "305-552-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST GABLES REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "IZQUIERDO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-552-5210"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "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 21, 2007; 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.