Organization Active NPI

W & Y Rehab Service, LLC

  • Clinic/Center
  • Miami Gardens, FL
National Provider Identifier
1124516299
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
W & Y REHAB SERVICE, LLC
Practice address
3920 NW 167TH St
Miami Gardens, FL 33054-6240
Phone
(786) 925-4002
NPI assigned
Apr 24, 2018
Last updated
Apr 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Lexander Gonzalez
Title
Owner
Phone
(305) 974-4586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

3920 NW 167TH St
Miami Gardens, FL 33054-6240

Mailing address

3920 NW 167TH St
Miami Gardens, FL 33054-6240
Phone (786) 925-4002

Other names 1

  • W & Y REHAB SERVICE Former legal business name

National Provider Directory

National Provider Directory

Locations

3920 NW 167th St
Miami Gardens, FL 33054
Phone (786) 925-4002

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1124516299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546240",
            "telephone_number": "786-925-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546240",
            "telephone_number": "786-925-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W & Y REHAB SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-974-4586"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "W & Y REHAB SERVICE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.