Kiba Medical Corp.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

HCC4072 Issued in FL

Legal business name

KIBA MEDICAL CORP.

Doing business as

Miami Dade Comprehensive Outpatient Rehabilitation Facility

Practice address

7815 Coral Way
Ste103
Miami, FL 33155-6541

Phone

(305) 261-8010

Fax

(305) 262-9418

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Carmen Vazquez

Title

Owner

Phone

(305) 261-8010

Specialties & licenses 1

Addresses

Other names 1

• Miami Dade Comprehensive Outpatient Rehabilitation Facility Doing business as

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1285784363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 CORAL WAY",
            "address_2": "STE103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556541",
            "telephone_number": "305-261-8010",
            "fax_number": "305-262-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 CORAL WAY",
            "address_2": "STE103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556541",
            "telephone_number": "305-261-8010",
            "fax_number": "305-262-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIBA MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-261-8010",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": "HCC4072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Dade Comprehensive Outpatient Rehabilitation Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Comprehensive Outpatient Rehabilitation Facility (CORF) in Miami, FL
• Providers in Miami, FL by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.