Celebrity Rehab Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9589 Issued in FL

Legal business name

CELEBRITY REHAB INC

Practice address

50 NW 15TH St
Suite 101
Homestead, FL 33030-4266

Phone

(786) 515-9771

Fax

(305) 248-2780

NPI assigned

Feb 1, 2012

Last updated

Feb 1, 2012By 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. Ernie Hernandez

Title

President

Phone

(786) 515-9771

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1417229725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NW 15TH ST",
            "address_2": "SUITE 101",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304266",
            "telephone_number": "786-515-9771",
            "fax_number": "305-248-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NW 15TH ST",
            "address_2": "SUITE 101",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304266",
            "telephone_number": "786-515-9771",
            "fax_number": "305-248-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRITY REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ERNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-515-9771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9589",
            "primary": true
        },
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "FL",
            "license": "ME28403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yosvel Ceballo
• Luis Eduardo Ceballos
• Shelley Cebrian
• Juan Diego Cedeno, M.D.
• Rafael Celada Ruisanchez, RBT
• Roberta D Celestin
• Nancy M Celine
• Rosa A Celorio Vera
• Johnny Centeno Jerviss Jr.
• Centeno-Cisneros Medical Group Inc

• Chiropractor in Homestead, FL
• Providers in Homestead, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.