Active NPI
Premium Rehab Services Inc
- Health Service Clinic/Center
- Miami, FL
National Provider Identifier
1396132148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Premium Medical Supply Inc
- Premium Pharmacy Inc (Premium Pharmacy Discount)
- Premium Plus Health, LLC
- Premium Podiatry Healthcare & Services, Inc.
- Premium Quality Medical Center, Corp.
- Premium Surgical Services, L.L.C.
- Premium Transport Corp
- Yadira Prende Alvarez, RBT 1053987
- Prende Enterprises, LLC (Vertical Fit)
- Yasleidi Prendes Hernandez
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.