Organization Active NPI

Venetian Rehab Center Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1174793954
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VENETIAN REHAB CENTER INC
Practice address
434 SW 12TH Ave
#103
Miami, FL 33130-2440
Phone
(786) 879-6668
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Yanexis Puga
Title
VP
Phone
(786) 879-6668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

434 SW 12TH Ave
#103
Miami, FL 33130-2440

Mailing address

434 SW 12TH Ave
#103
Miami, FL 33130-2440
Phone (786) 879-6668

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1174793954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 SW 12TH AVE",
            "address_2": "#103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302440",
            "telephone_number": "786-879-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 SW 12TH AVE",
            "address_2": "#103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302440",
            "telephone_number": "786-879-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENETIAN REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "PUGA",
        "authorized_official_first_name": "YANEXIS",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "786-879-6668"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.