Organization Active NPI

Blue Sky Medical & Rehab Center LLC

  • Physical Medicine & Rehabilitation Physician
  • Hialeah, FL
National Provider Identifier
1548810179
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.