Organization Active NPI

GR Rehab Center Inc

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1417313966
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GR REHAB CENTER INC
Practice address
7221 SW 24TH St
210
Miami, FL 33155-1436
Phone
(786) 542-1630
Fax
(786) 542-1555
NPI assigned
Jan 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Arsenio Fundora
Title
President
Phone
(786) 506-0648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

7221 SW 24TH St
210
Miami, FL 33155-1436

Mailing address

85 Grand Canal Dr Ste 306
Miami, FL 33144-2569
Phone (786) 542-1630

National Provider Directory

National Provider Directory

Locations

7221 SW 24th St
Ste 210
Miami, FL 33155
Phone (786) 501-9583

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1417313966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 GRAND CANAL DR STE 306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442569",
            "telephone_number": "786-542-1630",
            "fax_number": "786-542-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 SW 24TH ST",
            "address_2": "210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551436",
            "telephone_number": "786-542-1630",
            "fax_number": "786-542-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GR REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "FUNDORA",
        "authorized_official_first_name": "ARSENIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-506-0648"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "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 Oct 12, 2021; 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.