Active NPI
Grand Medical Rehab Center, Inc.
- Health Service Clinic/Center
- Miami, FL
National Provider Identifier
1437608411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- GRAND MEDICAL REHAB CENTER, INC.
- Practice address
- 10491 SW 88TH St
Suite F-201
Miami, FL 33176-1597 - Phone
- (786) 420-5594
- NPI assigned
- Oct 1, 2016
- 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
- Yasset Dominguez
- Title
- President
- Phone
- (786) 420-5594
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
10491 SW 88TH St
Suite F-201
Miami, FL 33176-1597
Mailing address
10491 SW 88TH St
Suite F-201
Miami, FL 33176-1597
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475280000000",
"number": "1437608411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10491 SW 88TH ST",
"address_2": "SUITE F-201",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10491 SW 88TH ST",
"address_2": "SUITE F-201",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761597",
"telephone_number": "786-420-5594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND MEDICAL REHAB CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-01",
"last_updated": "2016-10-01",
"status": "A",
"authorized_official_last_name": "DOMINGUEZ",
"authorized_official_first_name": "YASSET",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-420-5594"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"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 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.