CB Phenix Rehabilitation Center Corp

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

HCC7764 Issued in FL

Legal business name

CB PHENIX REHABILITATION CENTER CORP

Practice address

3750 W 16TH Ave
Suite 226-U
Hialeah, FL 33012-4654

Phone

(305) 557-6188

Fax

(305) 557-6199

NPI assigned

Jul 16, 2013

Last updated

Jul 16, 2013By 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

Humberto Martinez, M.M

Title

Owner

Phone

(305) 557-6188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1538500756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE",
            "address_2": "SUITE 226-U",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124654",
            "telephone_number": "305-557-6188",
            "fax_number": "305-557-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE",
            "address_2": "SUITE 226-U",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124654",
            "telephone_number": "305-557-6188",
            "fax_number": "305-557-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CB PHENIX REHABILITATION CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-557-6188",
        "authorized_official_credential": "M.M"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC7764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolores Sanchez Cazau, MD
• Miguelina Cazeau, N/A
• Martine Cazimir
• Raul Cazulo, PRESIDENT
• CB Pharmacy Inc
• Ccy Services Corp
• CDM Behavioral Management LLC
• Santiago Ceballos Seijido
• Annalia Ceballos
• Jennifer Ceballos

• Health Service Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.