Boullon Rehabilitation Center LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

HCC12163 Issued in FL

Legal business name

BOULLON REHABILITATION CENTER LLC

Practice address

2450 SW 137TH Ave
Suite 203
Miami, FL 33175-8802

Phone

(786) 360-6577

Fax

(786) 636-6964

NPI assigned

May 2, 2016

Organization subpart

No

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

Authorized official

Name

Jorge Ruiz

Title

Owner

Phone

(786) 360-6577

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1205281938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 SW 137TH AVE",
            "address_2": "SUITE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758802",
            "telephone_number": "786-360-6577",
            "fax_number": "786-636-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 SW 137TH AVE",
            "address_2": "SUITE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758802",
            "telephone_number": "786-360-6577",
            "fax_number": "786-636-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULLON REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-360-6577"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "HCC12163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalmis Boulandier, APRN
• Yurinie Boulandier, PHARM.D.
• Catherine Boulanger, M.D.
• Luis L Boulart
• Ana Liz Boullon Estevez
• Keanu Boullon
• Yadmila Boullosa
• Alexander Boulos, MD, MPH
• Melissa Marie Boulos, PT, DPT
• Paul Adly Boulos, D.O.

• Rehabilitation Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.