Waters Medical Rehab, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WATERS MEDICAL REHAB, INC

Practice address

8019 N Himes Ave
Suite 202
Tampa, FL 33614

Phone

(813) 936-8121

Fax

(813) 936-8906

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Jorge L Escobar

Title

President

Phone

(813) 936-8121

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis S. Miranda-Genaro, M.D.

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1881747699
  NPD (past)
• Himagiri Ravi, M.D.

  • Obstetrics & Gynecology Physician
  • Lakeland, FL
  • NPI 1972533594
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1124041322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 N HIMES AVE",
            "address_2": "SUITE 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142712",
            "telephone_number": "813-936-8121",
            "fax_number": "813-936-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 N HIMES AVE",
            "address_2": "SUITE 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "813-936-8121",
            "fax_number": "813-936-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERS MEDICAL REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-936-8121"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mana Watanabe
• Maya Waterbury, PT, DPT
• Bruce Donald Waterman, D.M.D.
• Waters Community Pharmacy
• Waters Medical Clinic, LLC
• Alicia Michelle Waters, M.D.
• Chanel Waters
• John Thomas Waters, DNP, CRNA, APRN
• Keith D Waters
• Priyawan Waters, PHARMD

• Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.