San Diego Medical and Rehab Center Inc.

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

SAN DIEGO MEDICAL AND REHAB CENTER INC.

Practice address

6600 Taft St
Suite 303
Hollywood, FL 33024-4040

Phone

(786) 587-6712

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Juan Heredia

Title

President

Phone

(786) 587-6712

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629016258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 W FLAGLER ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341446",
            "telephone_number": "786-587-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 TAFT ST",
            "address_2": "SUITE 303",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244040",
            "telephone_number": "786-587-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO MEDICAL AND REHAB CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEREDIA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-587-6712"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Samuel, MD
• Deanne Samuels, PHD
• Emily Diane Samuels, LCSW
• Michael S Samuels, DO
• Mitchell J. Samuels, DO.
• San Diego Medical Center Inc
• Sana Medical and Wellness
• Sana Medical and Wellness
• Stefanny Melissa Sanabria Izaquita
• Anabel Soledad Sanabria Smitter, APRN

• Legal Medicine in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Legal Medicine in Florida

• 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.