Palm Beach Rehabilitation & Medical Center

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

License

9572 Issued in FL

Legal business name

PALM BEACH REHABILITATION & MEDICAL CENTER

Practice address

4524 Gun Club Rd
Suite 211
West Palm Beach, FL 33415-2890

Phone

(561) 686-9091

NPI assigned

Feb 14, 2011

Last updated

Feb 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alberto Baez Kim

Title

President

Phone

(561) 686-9091

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1386941110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 GUN CLUB RD",
            "address_2": "SUITE 211",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334152890",
            "telephone_number": "561-686-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4524 GUN CLUB RD",
            "address_2": "SUITE 211",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334152890",
            "telephone_number": "561-686-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH REHABILITATION & MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "BAEZ KIM",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-686-9091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "FL",
            "license": "9572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "9572",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Radiology Institute LLC
• Palm Beach Recovery and Wellness LLC
• Palm Beach Recovery and Wellness, LLC
• Palm Beach Recovery LLC (The Palm Beach Institute)
• Palm Beach Recovery, LLC (The Palm Beach Institute)
• Palm Beach Rehabilitation Services,Inc
• Palm Beach Research Center
• Palm Beach Sleep Treatment Center LLC
• Palm Beach Specialists Inc
• Palm Beach Spine & Diagnostic Inc

• Substance Use Disorder Rehabilitation Hospital Unit in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.