NPIMap

Organization Active NPI

West Kendall Rehab, Inc.

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1487943619
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME97323 Issued in FL
Legal business name
WEST KENDALL REHAB, INC.
Practice address
4445 W 16TH Ave Ste 505
Hialeah, FL 33012-2960
Phone
(305) 512-1717
Fax
(305) 512-1713
NPI assigned
Mar 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Inti Fernandez, M.D
Title
President
Phone
(305) 512-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME97323 FL Primary

Addresses

Primary practice location

4445 W 16TH Ave Ste 505
Hialeah, FL 33012-2960

Mailing address

4445 W 16TH Ave Ste 505
Hialeah, FL 33012-2960
Phone (305) 512-1717

Other identifiers 1

IdentifierTypeStateIssuer
1831235043OtherFLORGANIZATION

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1487943619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE STE 505",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122960",
            "telephone_number": "305-512-1717",
            "fax_number": "305-512-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE STE 505",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122960",
            "telephone_number": "305-512-1717",
            "fax_number": "305-512-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST KENDALL REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "INTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-512-1717",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME97323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION",
            "identifier": "1831235043",
            "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 Mar 28, 2011; 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.