Blue Horizon Rehab Medical, Corp.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

MA 57137 Issued in FL

Legal business name

BLUE HORIZON REHAB MEDICAL, CORP.

Practice address

4369 W 16TH Ave
Hialeah, FL 33012-7628

Phone

(305) 825-6577

Fax

(305) 825-6578

NPI assigned

Apr 29, 2010

Organization subpart

No

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

Authorized official

Name

Juan A Losada

Title

President

Phone

(305) 825-6577

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1134446198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4369 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127628",
            "telephone_number": "305-825-6577",
            "fax_number": "305-825-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4369 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127628",
            "telephone_number": "305-825-6577",
            "fax_number": "305-825-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HORIZON REHAB MEDICAL, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "LOSADA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-825-6577"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MA 57137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Clinical Center LLC
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• Blue Health Care, Inc
• Blue Heaven Rehabilitation Inc
• Blue Heaven Rehabilitation Inc
• Blue Lagoon Medical Center Inc
• Blue Lake Medical Center, Inc.
• Blue Leaf Med Supplies Inc
• Blue Paradise ABA LLC
• Blue Paradise Medical Center LLC

• Physical Therapy Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.