San Lazaro Rehab Center Corp

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

MA58457 Issued in FL

Legal business name

SAN LAZARO REHAB CENTER CORP

Practice address

2500 NW 79TH Ave Ste 288
Doral, FL 33122-1090

Phone

(305) 290-3750

NPI assigned

Mar 21, 2012

Last updated

Mar 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anier Emilio Arce, MA

Title

President

Phone

(786) 327-8517

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1578838637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 288",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 288",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221090",
            "telephone_number": "305-290-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LAZARO REHAB CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "ARCE",
        "authorized_official_first_name": "ANIER",
        "authorized_official_middle_name": "EMILIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-327-8517",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "MA58457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.