Organization Active NPI

Coral New Rehabilitation Center, Inc.

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1619266244
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
MA 60489 Issued in FL
Legal business name
CORAL NEW REHABILITATION CENTER, INC.
Practice address
6741 SW 24 St
Suite 43
Miami, FL 33155
Phone
(305) 269-0999
Fax
(305) 269-0957
NPI assigned
Apr 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Eviloy Romero
Title
Licensed Massage Therapist
Phone
(305) 269-0999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MA 60489 FL Primary

Addresses

Primary practice location

6741 SW 24 St
Suite 43
Miami, FL 33155

Mailing address

6741 SW 24 St
Suite 43
Miami, FL 33155
Phone (305) 269-0999

Other identifiers 1

IdentifierTypeStateIssuer
MA 60489OtherFLFLORIDA DEPARTMENT OF HEALTH

National Provider Directory

National Provider Directory

Locations

6741 SW 24th St
Ste 43
Miami, FL 33155
Phone (305) 269-0999

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1619266244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 SW 24 ST",
            "address_2": "SUITE 43",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-269-0999",
            "fax_number": "305-269-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 SW 24 ST",
            "address_2": "SUITE 43",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-269-0999",
            "fax_number": "305-269-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL NEW REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "EVILOY",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "305-269-0999"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MA 60489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "MA 60489",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.