Organization Active NPI

Ifa Medical Center, Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Miami, FL
National Provider Identifier
1336161165
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
IFA MEDICAL CENTER, INC
Practice address
1695 SW 107TH Ave
Miami, FL 33165-7344
Phone
(305) 207-4443
Fax
(305) 207-4442
NPI assigned
Jul 24, 2006
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
Eliecer Gonzalez
Title
President
Phone
(305) 207-4443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X FL Primary

Addresses

Primary practice location

1695 SW 107TH Ave
Miami, FL 33165-7344

Mailing address

1695 SW 107TH Ave
Miami, FL 33165-7344
Phone (305) 207-4443

National Provider Directory

National Provider Directory

Locations

1695 SW 107th Ave
Miami, FL 33165
Phone (305) 207-4443

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336161165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657344",
            "telephone_number": "305-207-4443",
            "fax_number": "305-207-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657344",
            "telephone_number": "305-207-4443",
            "fax_number": "305-207-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IFA MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ELIECER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-207-4443"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": null,
            "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.