Active NPI
Blue Sky Medical & Rehab Center LLC
- Physical Medicine & Rehabilitation Physician
- Hialeah, FL
National Provider Identifier
1548810179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- BLUE SKY MEDICAL & REHAB CENTER LLC
- Practice address
- 2337 W 76TH St
Hialeah, FL 33016-1842 - Phone
- (786) 360-5306
- Fax
- (786) 637-2363
- NPI assigned
- Sep 16, 2019
- Last updated
- May 12, 2021
- 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
- Susel Casado
- Title
- Manager
- Phone
- (786) 360-5306
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
2337 W 76TH St
Hialeah, FL 33016-1842
Mailing address
2337 W 76TH St
Hialeah, FL 33016-1842
Phone (786) 360-5306
Other names 1
- BLUE SKY MEDICAL& REHAB CENTER LLC
National Provider Directory
National Provider DirectoryLocations
3750 W 16th Ave
Ste 228
Hialeah, FL 33012
Phone (786) 360-5306
3750 W 16th Ave
Ste 228U
Hialeah, FL 33012
Phone (954) 300-5128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620777600000",
"number": "1548810179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2337 W 76TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161842",
"telephone_number": "786-360-5306",
"fax_number": "786-637-2363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2337 W 76TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161842",
"telephone_number": "786-360-5306",
"fax_number": "786-637-2363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE SKY MEDICAL & REHAB CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-16",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A",
"authorized_official_last_name": "CASADO",
"authorized_official_first_name": "SUSEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "786-360-5306"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BLUE SKY MEDICAL& REHAB CENTER LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.