Rejuvenex Medical Clinic Corp.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

REJUVENEX MEDICAL CLINIC CORP.

Practice address

5200 SW 8TH St
Suite#150
Coral Gables, FL 33134-2300

Phone

(786) 468-5415

Fax

(786) 468-5414

NPI assigned

Feb 8, 2011

Last updated

Feb 8, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

REJUVENEX MEDICAL CLINIC CORP.As reported in NPPES

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

Authorized official

Name

Mrs. Monica Cuevas I, OWNER

Title

President

Phone

(786) 468-5415

Specialties & licenses 1

Addresses

Other names 1

• n/a Former legal business name

Part of

Rejuvenex Medical Clinic Corp

Locations

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1588960553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 SW 8TH ST",
            "address_2": "SUITE#150",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342300",
            "telephone_number": "786-468-5415",
            "fax_number": "786-468-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 SW 8TH ST",
            "address_2": "SUITE#150",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342300",
            "telephone_number": "786-468-5415",
            "fax_number": "786-468-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENEX MEDICAL CLINIC CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REJUVENEX MEDICAL CLINIC CORP.",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "CUEVAS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-468-5415",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Specialist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.