Gardens Medical Rehab Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MM25119 Issued in FL

Legal business name

GARDENS MEDICAL REHAB INC

Practice address

5590 W 20TH Ave Ste 204
Hialeah, FL 33016-7061

Phone

(305) 698-3482

Fax

(305) 698-3489

NPI assigned

Jul 6, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Enrique Jose De la Cotera, LMT

Title

President

Phone

(305) 698-3482

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1619289709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5590 W 20TH AVE STE 204",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330167061",
            "telephone_number": "305-698-3482",
            "fax_number": "305-698-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5590 W 20TH AVE STE 204",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330167061",
            "telephone_number": "305-698-3482",
            "fax_number": "305-698-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENS MEDICAL REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "DE LA COTERA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-698-3482",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM25119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garden of Eden 2015 Corp
• Garden of Eden Homecare Services, Corp
• Garden Valley Retirement Home LLC.
• Garden Walk Assisted Living, Corp.
• Garden'S Elderly Care
• Gardens Pharmacy & Discount Store Inc
• Geiny Yoel Gardona Moran
• Arley Gari
• Onix Cesar Garib Alpizar, MD
• Yasmary Garica, OD

• Massage Therapist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.