San Jude Rehab and Medical Center, Corp.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

HCC9743 Issued in FL

Legal business name

SAN JUDE REHAB AND MEDICAL CENTER, CORP.

Practice address

8302 NW 103Rd St
Suite 202
Hialeah Gardens, FL 33016-4697

Phone

(305) 456-6803

NPI assigned

Jan 9, 2013

Organization subpart

No

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

Authorized official

Name

Dinorah Gonzalez

Title

President

Phone

(305) 456-6803

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1093052193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8302 NW 103RD ST",
            "address_2": "SUITE 202",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330164697",
            "telephone_number": "305-456-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8302 NW 103RD ST",
            "address_2": "SUITE 202",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330164697",
            "telephone_number": "305-456-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUDE REHAB AND MEDICAL CENTER, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DINORAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-456-6803"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC9743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Ruiz Parra, RN
• Julieta Ruiz, BCABA
• Lien Salazar de la Torre
• Evelyn S Salazar, RBT
• Salgado Behavior Services Inc
• Marguelys Sanchez Aguilar
• Antonio Miguel Sanchez Blanco
• Yiliena Sanchez Hernandez
• Helen Sanchez Z, RN
• Daisy Pereira Sanchez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.