Grand Medical Rehab Center Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

GRAND MEDICAL REHAB CENTER INC

Practice address

4182 W 12TH Ave
Grand Medical Rehab Center Inc.
Hialeah, FL 33012

Phone

(305) 824-5025

Fax

(305) 824-5026

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jackeline A Valdes

Title

Owner/Administrator

Phone

(305) 824-5025

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1619992435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4182 W 12TH AVE",
            "address_2": "GRAND MEDICAL REHAB CENTER INC.",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-824-5024",
            "fax_number": "305-824-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4182 W 12TH AVE",
            "address_2": "GRAND MEDICAL REHAB CENTER INC.",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-824-5025",
            "fax_number": "305-824-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND MEDICAL REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "JACKELINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "305-824-5025",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisette Maylene Gradaille
• Solangel Grana Laguna
• Inalvis Granado Diaz
• Zusel Granados Galvez
• Georgina Maria Granados, D.O.
• Alexandria Mary Granda
• Yusimi Granda
• Yaimarelys Grandales
• Gina N. Grandchamp-Milan, M.S. CCC SLP
• Giomar F Gras, PTA

• Rehabilitation Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.