Organization Active NPI

Premium Rehab Services Inc

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1396132148
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PREMIUM REHAB SERVICES INC
Practice address
12741 SW 42ND St
Ste 121
Miami, FL 33175-3429
Phone
(305) 389-0120
Fax
(305) 602-9351
NPI assigned
Apr 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Jorge L Valdez
Title
Owner
Phone
(305) 389-0120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X FL Primary

Addresses

Primary practice location

12741 SW 42ND St
Ste 121
Miami, FL 33175-3429

Mailing address

12741 SW 42ND St
Ste 121
Miami, FL 33175-3429
Phone (305) 389-0120

National Provider Directory

National Provider Directory

Locations

12741 SW 42nd St
Miami, FL 33175
Phone (305) 389-0120

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1396132148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12741 SW 42ND ST",
            "address_2": "STE 121",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753429",
            "telephone_number": "305-389-0120",
            "fax_number": "305-602-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12741 SW 42ND ST",
            "address_2": "STE 121",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753429",
            "telephone_number": "305-389-0120",
            "fax_number": "305-602-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM REHAB SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-389-0120"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": null,
            "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 Apr 20, 2015; 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.