Organization Active NPI

Opal Rehabilitation Center Corp

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1245976265
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OPAL REHABILITATION CENTER CORP
Practice address
931B SW 87TH Ave
Miami, FL 33174-3206
Phone
(754) 267-8471
NPI assigned
May 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Mr. Eugenio Alxide Hernandez
Title
President
Phone
(786) 381-5244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

931B SW 87TH Ave
Miami, FL 33174-3206

Mailing address

931B SW 87TH Ave
Miami, FL 33174-3206
Phone (754) 267-8471

National Provider Directory

National Provider Directory

Locations

931 SW 87th Ave
#B
Miami, FL 33174
Phone (754) 267-8471

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1245976265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931B SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743206",
            "telephone_number": "754-267-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931B SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743206",
            "telephone_number": "754-267-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPAL REHABILITATION CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "EUGENIO",
        "authorized_official_middle_name": "ALXIDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-381-5244",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "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 May 11, 2022; 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.