Organization Active NPI

Montecristo Medical Center Corp

  • Rehabilitation Clinic/Center
  • Miami, FL
National Provider Identifier
1376703561
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
HCC6894 Issued in FL
Legal business name
MONTECRISTO MEDICAL CENTER CORP
Practice address
1653 NW 34TH St
Miami, FL 33142-5584
Phone
(754) 224-8870
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Vida James
Title
OT
Phone
(754) 224-8870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X HCC6894 FL Primary

Addresses

Primary practice location

1653 NW 34TH St
Miami, FL 33142-5584

Mailing address

1653 NW 34TH St
Miami, FL 33142-5584

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1376703561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 NW 34TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331425584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 NW 34TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331425584",
            "telephone_number": "754-224-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTECRISTO MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "VIDA",
        "authorized_official_title_or_position": "OT",
        "authorized_official_telephone_number": "754-224-8870"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "HCC6894",
            "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 Jun 11, 2008; 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.