St Jude Rehabilitation Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC7935 Issued in FL

Legal business name

ST JUDE REHABILITATION CENTER INC

Practice address

3934 SW 8TH St
Suite 308
Coral Gables, FL 33134-2949

Phone

(305) 441-7640

Fax

(305) 441-7665

NPI assigned

Oct 17, 2013

Organization subpart

No

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

Authorized official

Name

Nadiheya Molina Gonzalez, MA

Title

President/Massage Therapist

Phone

(305) 441-7640

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1124456702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 SW 8TH ST",
            "address_2": "SUITE 308",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342949",
            "telephone_number": "305-441-7640",
            "fax_number": "305-441-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 SW 8TH ST",
            "address_2": "SUITE 308",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342949",
            "telephone_number": "305-441-7640",
            "fax_number": "305-441-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "NADIHEYA",
        "authorized_official_middle_name": "MOLINA",
        "authorized_official_title_or_position": "PRESIDENT/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "305-441-7640",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC7935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA EXEMPT HCC UNIT",
            "identifier": "FILE 8127",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Spruill
• Meghna Srinath, MD
• Srishti Srivastava, M.D.
• St Jude Medical Clinic Inc
• St Jude Medical Clinic Inc
• St Trinity Medical Center Inc
• St. Clara Home Health Agency, Inc.
• Gerty St. Fleur, RN
• St. Francis Home Health, Inc.
• St. Theresa Home Health, Inc.

• Clinic/Center in Coral Gables, FL
• Providers in Coral Gables, 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 17, 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.