Organization Active NPI

Cardinal Medical Group, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Hialeah, FL
National Provider Identifier
1619021300
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
CARDINAL MEDICAL GROUP, INC.
Practice address
1401 E 4TH Ave
Ste 103
Hialeah, FL 33010-3504
Phone
(305) 889-0557
Fax
(305) 889-5989
NPI assigned
Jan 22, 2007
Last updated
Mar 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Tulio Quirantes
Title
President
Phone
(305) 889-0557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU Primary

Addresses

Primary practice location

1401 E 4TH Ave
Ste 103
Hialeah, FL 33010-3504

Mailing address

1401 E 4TH Ave
Ste 103
Hialeah, FL 33010-3504
Phone (305) 889-0557

National Provider Directory

National Provider Directory

Locations

1401 E 4th Ave
Ste 103
Hialeah, FL 33010
Phone (305) 889-0557

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1619021300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E 4TH AVE",
            "address_2": "STE 103",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103504",
            "telephone_number": "305-889-0557",
            "fax_number": "305-889-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 4TH AVE",
            "address_2": "STE 103",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103504",
            "telephone_number": "305-889-0557",
            "fax_number": "305-889-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "QUIRANTES",
        "authorized_official_first_name": "TULIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-889-0557"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.