South Miami Rehabilitation, Inc.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

683224 Issued in FL

Legal business name

SOUTH MIAMI REHABILITATION, INC.

Practice address

8390 W Flagler St
Suite 201
Miami, FL 33144-2039

Phone

(305) 480-5688

Fax

(305) 480-5680

NPI assigned

Dec 29, 2005

Last updated

Sep 18, 2007By 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

Juan Manzano

Title

President

Phone

(786) 237-9720

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1255318333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 W FLAGLER ST",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442039",
            "telephone_number": "305-480-5688",
            "fax_number": "305-480-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 W FLAGLER ST",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442039",
            "telephone_number": "305-480-5688",
            "fax_number": "305-480-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MIAMI REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "MANZANO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-237-9720"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": "683224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Miami Medical, Inc
• South Miami Pediatric Professionals, PA
• South Miami Pediatries
• South Miami Pharmacy II LLC (SMP Pharmacy Solutions #2)
• South Miami Recovery, Inc
• South Miami Senior Care
• South Miami Sportmedicine & Hand Therapy Center Inc
• South Pacific Medical Equipment Corp
• South Pacific Pharmacy
• South Park Pharmacy Inc

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Miami, FL
• Providers in Miami, FL by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.