Organization Active NPI

Profmed Rehab Center Inc

  • Health Service Clinic/Center
  • Hialeah, FL
National Provider Identifier
1568899888
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PROFMED REHAB CENTER INC
Practice address
5190 NW 167TH St Ste 106
Hialeah, FL 33014-6329
Phone
(786) 955-6598
Fax
(786) 955-6857
NPI assigned
Oct 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Olga Quinones
Title
President
Phone
(786) 955-6598

Specialties & licenses 1

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

Addresses

Primary practice location

5190 NW 167TH St Ste 106
Hialeah, FL 33014-6329

Mailing address

5190 NW 167TH St Ste 106
Hialeah, FL 33014-6329
Phone (786) 955-6598

National Provider Directory

National Provider Directory

Locations

5190 NW 167th St
Ste 106
Miami Lakes, FL 33014
Phone (786) 955-6598

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1568899888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST STE 106",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330146329",
            "telephone_number": "786-955-6598",
            "fax_number": "786-955-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST STE 106",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330146329",
            "telephone_number": "786-955-6598",
            "fax_number": "786-955-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFMED REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-955-6598"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 1, 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.