Reborn Medical Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

REBORN MEDICAL CENTER LLC

Practice address

801 NW 37 Ave
Ste 201
Miami, FL 33124

Phone

(305) 643-6601

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

William R Gonzalez

Title

President

Phone

(305) 643-6601

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.

• Ann Marie Patrick, DO

  • Family Medicine Physician
  • Miami, FL
  • NPI 1417905886
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366476954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NW 37 AVE",
            "address_2": "STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33124",
            "telephone_number": "305-643-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NW 37 AVE",
            "address_2": "STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33124",
            "telephone_number": "305-643-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBORN MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-643-6601"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Cabral Nutrition
• Daniela Alejandra Rebollo Salazar, MD
• Michelle Rebollo
• Nazira Reborido
• Reborn Community Services LLC
• Reborn Rehabilitation Center Inc
• Hareti Reboso Ibanez, RBT-23-278535
• Rebull Senior Living
• Jessica Recano Lopez
• Maria Caridad Recano, NP-C

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• 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.