Active NPI
Gavy Rehabilitation Center, Inc
- Primary Care Clinic/Center
- Hialeah, FL
National Provider Identifier
1487699286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ME50169
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HC3656 | Other | FL | AHCA LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Coral Gables, FL
- NPI 1134177066
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.