Mateo Rehabilitation Center LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MATEO REHABILITATION CENTER LLC

Practice address

7715 NW 48TH St Ste 360
Doral, FL 33166-5474

Phone

(305) 760-9198

NPI assigned

May 18, 2022

Last updated

Jul 20, 2022By 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

Jose Gonzales

Title

Owner

Phone

(305) 492-5983

Specialties & licenses 1

Addresses

Other names 1

• mateo rehabilitation center llc Former legal business name

Locations

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1487391728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 NW 48TH ST STE 360",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665474",
            "telephone_number": "305-518-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 NW 48TH ST STE 360",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665474",
            "telephone_number": "305-760-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATEO REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-492-5983"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mateo rehabilitation center llc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "mateo rehabilitation center llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Physical Therapy Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.