Organization Active NPI

Centro de Rehabilitacion Nueva Vida Corp

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1194239368
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CENTRO DE REHABILITACION NUEVA VIDA CORP
Practice address
1840 W 49TH St Ste 605
Hialeah, FL 33012-2962
Phone
(786) 294-0453
Fax
(786) 294-0243
NPI assigned
Nov 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Barbarita Garcia
Title
President
Phone
(786) 294-0453

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Infection Control Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WI0600X
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Multi-Specialty Clinic/Center 261QM1300X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1840 W 49TH St Ste 605
Hialeah, FL 33012-2962

Mailing address

1840 W 49TH St Ste 605
Hialeah, FL 33012-2962
Phone (786) 294-0453

Other identifiers 2

IdentifierTypeStateIssuer
107841200MedicaidFL
AHCAOtherFLHCC 11078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211008000106 FL Part B Supplier - Clinic/Group Practice 9830597616 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hialeah, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1840 W 49th St
Ste 607
Hialeah, FL 33012
Phone (305) 527-7976

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1194239368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 605",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122962",
            "telephone_number": "786-294-0453",
            "fax_number": "786-294-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 605",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122962",
            "telephone_number": "786-294-0453",
            "fax_number": "786-294-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE REHABILITACION NUEVA VIDA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "BARBARITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-294-0453"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infection Control",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107841200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCC 11078",
            "identifier": "AHCA",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.