Organization Active NPI

Casualty Rehabilitation Center Inc

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1568891836
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HCC10867 Issued in FL
Legal business name
CASUALTY REHABILITATION CENTER INC
Practice address
85 Grand Canal Dr
Suite 407
Miami, FL 33144-2561
Phone
(786) 474-0626
Fax
(305) 264-0425
NPI assigned
Nov 6, 2013
Last updated
Aug 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Yerisel Perez Valdes, LMT
Title
President
Phone
(786) 474-0626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC10867 FL Primary

Addresses

Primary practice location

85 Grand Canal Dr
Suite 407
Miami, FL 33144-2561

Mailing address

85 Grand Canal Dr
Suite 407
Miami, FL 33144-2561
Phone (786) 474-0626

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1568891836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 GRAND CANAL DR",
            "address_2": "SUITE 407",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442561",
            "telephone_number": "786-474-0626",
            "fax_number": "305-264-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 GRAND CANAL DR",
            "address_2": "SUITE 407",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442561",
            "telephone_number": "786-474-0626",
            "fax_number": "305-264-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASUALTY REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "PEREZ VALDES",
        "authorized_official_first_name": "YERISEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-474-0626",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC10867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.