Organization Active NPI

Pain Relief Rehab Medical Center,Corp

  • Health Service Clinic/Center
  • Hialeah, FL
National Provider Identifier
1265691356
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HCC8097 Issued in FL
Legal business name
PAIN RELIEF REHAB MEDICAL CENTER,CORP
Practice address
3750 W 16TH Ave
Suite#104
Hialeah, FL 33012-4654
Phone
(305) 821-2530
Fax
(305) 821-2968
NPI assigned
Jun 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Authorized official

Name
Mrs. Roberta Ascencion X, ETC
Title
Owner
Phone
(305) 821-2530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC8097 FL Primary

Addresses

Primary practice location

3750 W 16TH Ave
Suite#104
Hialeah, FL 33012-4654

Mailing address

3750 W 16TH Ave
Suite#104
Hialeah, FL 33012-4654
Phone (305) 821-2530

Other names 1

  • N/A Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1265691356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE",
            "address_2": "SUITE#104",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124654",
            "telephone_number": "305-821-2530",
            "fax_number": "305-821-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE",
            "address_2": "SUITE#104",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124654",
            "telephone_number": "305-821-2530",
            "fax_number": "305-821-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN RELIEF REHAB MEDICAL CENTER,CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "ASCENCION",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-821-2530",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "X",
        "authorized_official_credential": "ETC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC8097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 8, 2013; 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.