Organization Active NPI

Gavy Rehabilitation Center, Inc

  • Primary Care Clinic/Center
  • Hialeah, FL
National Provider Identifier
1487699286
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME50169 Issued in FL
Legal business name
GAVY REHABILITATION CENTER, INC
Practice address
4501 Palm Ave
Suite 202
Hialeah, FL 33012-4010
Phone
(305) 820-7130
Fax
(305) 820-7124
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Genoveva Santana
Title
President
Phone
(305) 820-7130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME50169 FL Primary

Addresses

Primary practice location

4501 Palm Ave
Suite 202
Hialeah, FL 33012-4010

Mailing address

6070 W 18TH Ave
Apt 111
Hialeah, FL 33012-6172
Phone (305) 318-1526

Other identifiers 1

IdentifierTypeStateIssuer
HC3656OtherFLAHCA LICENSE

National Provider Directory

National Provider Directory

Locations

4501 Palm Ave
Ste 202
Hialeah, FL 33012
Phone (305) 820-7130

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487699286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 W 18TH AVE",
            "address_2": "APT 111",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126172",
            "telephone_number": "305-318-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 PALM AVE",
            "address_2": "SUITE 202",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124010",
            "telephone_number": "305-820-7130",
            "fax_number": "305-820-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAVY REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "GENOVEVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-820-7130",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME50169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "HC3656",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.