JC Rehab Center, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

JC REHAB CENTER, INC.

Practice address

1005 E 4TH Ave
Hialeah, FL 33010-4103

Phone

(305) 888-8160

Fax

(305) 888-8165

NPI assigned

Aug 4, 2009

Last updated

Nov 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jesus A Reales, MDNPI 1679556740

Title

President

Phone

(305) 888-8160

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jesus A Reales, M.D.

  • General Practice Physician
  • Hialeah, FL
  • NPI 1679556740
  Authorized official Same address or phone

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1275764540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 EAST 4 AVENUE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33010",
            "telephone_number": "305-888-8160",
            "fax_number": "305-888-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104103",
            "telephone_number": "305-888-8160",
            "fax_number": "305-888-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC REHAB CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "REALES",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-888-8160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.