Organization Active NPI

G & J Medical Rehab Center, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Hollywood, FL
National Provider Identifier
1376558858
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
G & J MEDICAL REHAB CENTER, INC.
Practice address
509 S 21St Ave Ste 102
Hollywood, FL 33020-5096
Phone
(305) 642-0820
Fax
(305) 642-0150
NPI assigned
Jul 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Georgina Lopez
Title
President
Phone
(305) 642-0820

Specialties & licenses 1

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

Addresses

Primary practice location

509 S 21St Ave Ste 102
Hollywood, FL 33020-5096

Mailing address

509 S 21St Ave Ste 102
Hollywood, FL 33020-5096
Phone (305) 642-0820

National Provider Directory

National Provider Directory

Locations

509 S 21st Ave
Ste 102
Hollywood, FL 33020
Phone (305) 642-0820

1393 SW 1st St
Ste 405
Miami, FL 33135
Phone (305) 642-0820

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376558858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S 21ST AVE STE 102",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205096",
            "telephone_number": "305-642-0820",
            "fax_number": "305-642-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S 21ST AVE STE 102",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205096",
            "telephone_number": "305-642-0820",
            "fax_number": "305-642-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & J MEDICAL REHAB CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-642-0820"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, 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.