NPIMap

Organization Active NPI

Angels Rehabilitation Center Corp

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1275579674
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21182 Issued in FL
Legal business name
ANGELS REHABILITATION CENTER CORP
Practice address
5001 SW 74TH CT
Suite 105
Miami, FL 33155-4483
Phone
(786) 507-1465
Fax
(786) 507-1184
NPI assigned
Jun 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gonzalo Santiesteban Diaz
Title
Administrator
Phone
(786) 507-1465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT21182 FL Primary

Addresses

Primary practice location

5001 SW 74TH CT
Suite 105
Miami, FL 33155-4483

Mailing address

5001 SW 74TH CT
Suite 105
Miami, FL 33155-4483
Phone (786) 507-1465

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275579674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SW 74TH CT",
            "address_2": "SUITE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554483",
            "telephone_number": "786-507-1465",
            "fax_number": "786-507-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 SW 74TH CT",
            "address_2": "SUITE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554483",
            "telephone_number": "786-507-1465",
            "fax_number": "786-507-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS REHABILITATION CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTIESTEBAN DIAZ",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-507-1465"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21182",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.