NPIMap

Organization Active NPI

Kendall South Rehab Inc

  • Multi-Specialty Clinic/Center
  • Coral Gables, FL
National Provider Identifier
1275143372
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
KENDALL SOUTH REHAB INC
Practice address
4689 Ponce de Leon Blvd Ste 200
Coral Gables, FL 33146-2133
Phone
(786) 803-8025
Fax
(213) 832-3211
NPI assigned
Aug 4, 2020
Last updated
Sep 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Ms. Ileana Natividad Arce Sarmientos
Title
President
Phone
(786) 803-8025

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

4689 Ponce de Leon Blvd Ste 200
Coral Gables, FL 33146-2133

Mailing address

4689 Ponce de Leon Blvd Ste 200
Coral Gables, FL 33146-2133
Phone (786) 803-8025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200930001330 FL Part B Supplier - Clinic/Group Practice 4587083217 Receives reassigned benefits from 7 practitioners
Practice locations: Coral Gables, FL

National Provider Directory

National Provider Directory
Tax ID family
Kendall South Rehab Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3321 Del Prado Blvd S
Ste 2
Cape Coral, FL 33904

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1275143372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4689 PONCE DE LEON BLVD STE 200",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462133",
            "telephone_number": "786-803-8025",
            "fax_number": "213-832-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4689 PONCE DE LEON BLVD STE 200",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462133",
            "telephone_number": "786-803-8025",
            "fax_number": "213-832-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL SOUTH REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "NATIVIDAD ARCE SARMIENTOS",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-803-8025",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.