Organization Active NPI

Malberta Medical Center, Inc

  • Rehabilitation Clinic/Center
  • Doral, FL
National Provider Identifier
1578635983
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
68-6719 Issued in FL
Legal business name
MALBERTA MEDICAL CENTER, INC
Practice address
3900 NW 79TH Ave
Suite 201
Doral, FL 33166-6556
Phone
(786) 313-3314
Fax
(786) 313-3315
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Authorized official

Name
Tania Rodriguez
Title
President
Phone
(786) 313-3314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 68-6719 FL Primary

Addresses

Primary practice location

3900 NW 79TH Ave
Suite 201
Doral, FL 33166-6556

Mailing address

3900 NW 79TH Ave
Suite 201
Doral, FL 33166-6556
Phone (786) 313-3314

National Provider Directory

National Provider Directory

Locations

3900 NW 79th Ave
Ste 201
Doral, FL 33166
Phone (305) 599-8800

11352 SW 184th St
Miami, FL 33157
Phone (305) 971-8151

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1578635983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE",
            "address_2": "SUITE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666556",
            "telephone_number": "786-313-3314",
            "fax_number": "786-313-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE",
            "address_2": "SUITE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666556",
            "telephone_number": "786-313-3314",
            "fax_number": "786-313-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALBERTA MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-313-3314"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "68-6719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.