Kreative Therapy & Rehab Center, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

KREATIVE THERAPY & REHAB CENTER, INC

Practice address

17300 NW 68TH Ave
117
Hialeah, FL 33015-4014

Phone

(786) 319-0848

NPI assigned

May 20, 2010

Organization subpart

No

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

Authorized official

Name

Miguel Mendez

Title

President

Phone

(786) 319-0848

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1174842801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 NW 68TH AVE",
            "address_2": "117",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154014",
            "telephone_number": "786-319-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 NW 68TH AVE",
            "address_2": "117",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154014",
            "telephone_number": "786-319-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREATIVE THERAPY & REHAB CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-319-0848"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.