Active NPI
Miami-Dade Physical Rehabilitation, Inc.
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Hialeah, FL
National Provider Identifier
1265683338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Legal business name
- MIAMI-DADE PHYSICAL REHABILITATION, INC.
- Practice address
- 1840 W 49 Street
Hialeah, FL 33012 - Phone
- (305) 698-0161
- Fax
- (305) 698-0262
- NPI assigned
- Oct 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose Luis Castillo
- Title
- Owner
- Phone
- (305) 490-3103
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | FL | Primary |
Addresses
Primary practice location
1840 W 49 Street
Hialeah, FL 33012
Mailing address
1840 W 49 Street
Suite 310
Hialeah, FL 33012
Phone (305) 698-0161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 684534 | Other | FL | MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223337600000",
"number": "1265683338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 W 49 STREET",
"address_2": "SUITE 310",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33012",
"telephone_number": "305-698-0161",
"fax_number": "305-698-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 W 49 STREET",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33012",
"telephone_number": "305-698-0161",
"fax_number": "305-698-0262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIAMI-DADE PHYSICAL REHABILITATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-07",
"last_updated": "2008-10-07",
"status": "A",
"authorized_official_last_name": "CASTILLO",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "LUIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-490-3103"
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "684534",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.