Systems & Structure Rehab Center Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SYSTEMS & STRUCTURE REHAB CENTER INC.

Practice address

4715 NW 157TH St Ste 111-119
Miami Lakes, FL 33014-6435

Phone

(305) 342-2481

Fax

(800) 603-8864

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Aliette Neyra

Title

Vice President

Phone

(305) 342-2481

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Blessed Pediatric Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Ivelisse Colon Colon, MS SLP

  • Speech-Language Pathologist
  • Plantation, FL
  • NPI 1457759730
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1629099734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 NW 157TH ST STE 111-119",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146435",
            "telephone_number": "305-342-2481",
            "fax_number": "800-603-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 NW 157TH ST STE 111-119",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146435",
            "telephone_number": "305-342-2481",
            "fax_number": "800-603-8864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 NW 52nd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331665513",
            "country_code": "US",
            "telephone_number": "305-603-7036",
            "fax_number": "800-603-8864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4715 NW 157th St Ste 111-119",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330146435",
            "country_code": "US",
            "telephone_number": "305-342-2481",
            "fax_number": "800-603-8864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYSTEMS & STRUCTURE REHAB CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "NEYRA",
        "authorized_official_first_name": "ALIETTE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-342-2481"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "FL",
            "license": "60081007",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "585246-3",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004880200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013355700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blessed Pediatric Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blessed Pediatric Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nelisa D Tales Velasquez

• Clinic/Center in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.