Madisson Center

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

MADISSON CENTER

Practice address

5881 NW 151St St
Suite 103
Miami Lakes, FL 33014-2455

Phone

(305) 817-0838

Fax

(305) 817-0837

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Nilda Graveran

Title

President

Phone

(305) 817-0838

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1629022355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 NW 151ST ST",
            "address_2": "SUITE 103",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142455",
            "telephone_number": "305-817-0838",
            "fax_number": "305-817-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 NW 151ST ST",
            "address_2": "SUITE 103",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142455",
            "telephone_number": "305-817-0838",
            "fax_number": "305-817-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISSON CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "GRAVERAN",
        "authorized_official_first_name": "NILDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-817-0838",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Comprehensive Outpatient Rehabilitation Facility (CORF) in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.