Organization Active NPI

Pratz Rehabilitation Center

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1336530419
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PRATZ REHABILITATION CENTER
Practice address
1421 SW 107TH Ave
# 128
Miami, FL 33174-2526
Phone
(917) 402-4282
Fax
(646) 219-2701
NPI assigned
Feb 11, 2015
Last updated
Jan 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Andres Jose Rincon Lopez
Title
Owner
Phone
(917) 402-4282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1421 SW 107TH Ave
# 128
Miami, FL 33174-2526

Mailing address

244 5TH Ave
Suite 2631
New York, NY 10001-7604
Phone (917) 402-4282

National Provider Directory

National Provider Directory
Tax ID family
Dr Anzhela Dvorkina MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

244 5th Ave
Ste 2631
New York, NY 10001
Phone (917) 402-4282

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1336530419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 5TH AVE",
            "address_2": "SUITE 2631",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017604",
            "telephone_number": "917-402-4282",
            "fax_number": "646-219-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 SW 107TH AVE",
            "address_2": "# 128",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742526",
            "telephone_number": "917-402-4282",
            "fax_number": "646-219-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATZ REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "RINCON LOPEZ",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-402-4282"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "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 Jan 21, 2016; 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.