Organization Active NPI

Palm Rehab Center

  • Rehabilitation Clinic/Center
  • Hialeah, FL
National Provider Identifier
1346585791
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
HCC9062 Issued in FL
Legal business name
PALM REHAB CENTER
Practice address
1275 W 47TH PL Ste 422
Hialeah, FL 33012-3452
Phone
(305) 603-9956
Fax
(305) 456-8291
NPI assigned
Dec 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Jose Hernandez
Title
Owner
Phone
(305) 603-9956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X HCC9062 FL Primary

Addresses

Primary practice location

1275 W 47TH PL Ste 422
Hialeah, FL 33012-3452

Mailing address

1275 W 47TH PL Ste 422
Hialeah, FL 33012-3452
Phone (305) 603-9956

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1346585791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W 47TH PL STE 422",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123452",
            "telephone_number": "305-603-9956",
            "fax_number": "305-456-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W 47TH PL STE 422",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123452",
            "telephone_number": "305-603-9956",
            "fax_number": "305-456-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-603-9956"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "HCC9062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.