Organization Active NPI

Ideal Rehabilitation Center Inc

  • Family Medicine Physician
  • West Miami, FL
National Provider Identifier
1609834993
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IDEAL REHABILITATION CENTER INC
Practice address
1350 SW 57TH Ave
Suite 105
West Miami, FL 33144-5775
Phone
(305) 260-0188
Fax
(305) 260-0168
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yoel Gutierrez Perez
Title
Director
Phone
(305) 260-0188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1350 SW 57TH Ave
Suite 105
West Miami, FL 33144-5775

Mailing address

1350 SW 57TH Ave
Suite 105
West Miami, FL 33144-5775
Phone (305) 260-0188

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609834993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SW 57TH AVE",
            "address_2": "SUITE 105",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445775",
            "telephone_number": "305-260-0188",
            "fax_number": "305-260-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SW 57TH AVE",
            "address_2": "SUITE 105",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445775",
            "telephone_number": "305-260-0188",
            "fax_number": "305-260-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ PEREZ",
        "authorized_official_first_name": "YOEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-260-0188"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.