Organization Active NPI

Total Rehab Services Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Miami Lakes, FL
National Provider Identifier
1609006253
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1113AD301401 Issued in FL
Legal business name
TOTAL REHAB SERVICES INC
Practice address
14411 Commerce Way Ste 315
Miami Lakes, FL 33016-1532
Phone
(305) 644-7294
Fax
(305) 644-7295
NPI assigned
Jul 16, 2009
Last updated
May 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Dr. Herman E. Vega, PHD, AP, LMHCNPI 1235188905
Title
Clinical Director
Phone
(305) 644-7294

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1113AD301401 FL Primary

Addresses

Primary practice location

14411 Commerce Way Ste 315
Miami Lakes, FL 33016-1532

Mailing address

14411 Commerce Way Ste 315
Miami Lakes, FL 33016-1532
Phone (305) 644-7294

Other identifiers 1

IdentifierTypeStateIssuer
1235188905OtherFLMENTAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240919000501 FL Part B Supplier - Clinic/Group Practice 8628519543 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Lakes, FL

National Provider Directory

National Provider Directory

Locations

14411 Commerce Way
Ste 315
Miami Lakes, FL 33016
Phone (305) 644-7294

14505 Commerce Way
Ste 511
Miami Lakes, FL 33016

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1609006253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 COMMERCE WAY STE 315",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161532",
            "telephone_number": "305-644-7294",
            "fax_number": "305-644-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 COMMERCE WAY STE 315",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161532",
            "telephone_number": "305-644-7294",
            "fax_number": "305-644-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL REHAB SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "305-644-7294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, AP, LMHC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1113AD301401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "1235188905",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.