New Life Rehab Medical Center, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

NEW LIFE REHAB MEDICAL CENTER, INC.

Practice address

689 9TH St N Ste E
Naples, FL 34102-8100

Phone

(239) 302-5081

Fax

(239) 330-7068

NPI assigned

Nov 15, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Yisel Zequeira

Title

Administration

Phone

(239) 302-5081

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1518436989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 9TH ST N STE E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341028100",
            "telephone_number": "239-302-5081",
            "fax_number": "239-330-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 9TH ST N STE E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341028100",
            "telephone_number": "239-302-5081",
            "fax_number": "239-330-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE REHAB MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "ZEQUEIRA",
        "authorized_official_first_name": "YISEL",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "239-302-5081",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.