Practice Rehabilitation Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MM25692 Issued in FL

Legal business name

PRACTICE REHABILITATION CENTER

Practice address

13903 NW 67TH Ave
330
Hialeah, FL 33014-2900

Phone

(305) 825-8819

NPI assigned

Oct 28, 2010

Last updated

Oct 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luis S Pileta, MASSAGE THERAPIST

Title

Owner

Phone

(305) 825-8818

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1225338817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13903 NW 67TH AVE",
            "address_2": "330",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330142900",
            "telephone_number": "305-825-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13903 NW 67TH AVE",
            "address_2": "330",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330142900",
            "telephone_number": "305-825-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICE REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "PILETA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-825-8818",
        "authorized_official_credential": "MASSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MM25692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marinieves Pozada
• Liety Pozo Calleja
• Chabely Pozo, REGISTERED BEHAVIOR
• Daniela Pozo
• Marisol Pozo
• Gisselle Prada Martinez, APRN
• Prada Medical Services Corp.
• Jean Pascal Pradel, RPT.
• Juan Pradera Diaz
• Islay Prado O'Farrill

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.