NPIMap

Organization Active NPI

K & I Rehab Medical Center Corp

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1255612867
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC9345 Issued in FL
Legal business name
K & I REHAB MEDICAL CENTER CORP
Practice address
1414 N.W. 107TH Avenue
Suite 201
Miami, FL 33172
Phone
(786) 423-2690
Fax
(305) 675-2668
NPI assigned
Sep 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Kenner Gutierrez, MASSAGE THERAPISTNPI 1740558584
Title
President Owner
Phone
(786) 423-2690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC9345 FL Primary

Addresses

Primary practice location

1414 N.W. 107TH Avenue
Suite 201
Miami, FL 33172

Mailing address

1414 N.W. 107TH Avenue
Suite 201
Miami, FL 33172
Phone (786) 423-2690

Other identifiers 1

IdentifierTypeStateIssuer
FILE# 9699OtherFLAHCA EXEMPT HCC UNIT

National Provider Directory

National Provider Directory

Locations

1414 NW 107th Ave
Ste 201
Sweetwater, FL 33172
Phone (786) 423-2690

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1255612867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 N.W. 107TH AVENUE",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33172",
            "telephone_number": "786-423-2690",
            "fax_number": "305-675-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N.W. 107TH AVENUE",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33172",
            "telephone_number": "786-423-2690",
            "fax_number": "305-675-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & I REHAB MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "KENNER",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "786-423-2690",
        "authorized_official_credential": "MASSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC9345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA EXEMPT HCC UNIT",
            "identifier": "FILE# 9699",
            "state": "FL"
        }
    ],
    "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 Sep 9, 2011; 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.