Active NPI
Mental Therapy Rehabilitations Corp
- Community/Behavioral Health Agency
- Miami, FL
National Provider Identifier
1629693387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MENTAL THERAPY REHABILITATIONS CORP
- Practice address
- 85 Grand Canal Dr Ste 401
Miami, FL 33144-2570 - Phone
- (305) 201-1793
- NPI assigned
- Jun 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raquel Emma Gonzalez Perez
- Title
- Owner
- Phone
- (305) 201-1793
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
85 Grand Canal Dr Ste 401
Miami, FL 33144-2570
Mailing address
85 Grand Canal Dr Ste 401
Miami, FL 33144-2570
Phone (305) 201-1793
National Provider Directory
National Provider DirectoryLocations
85 Grand Canal Dr
Ste 401
Miami, FL 33144
Phone (305) 262-6158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611187200000",
"number": "1629693387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 GRAND CANAL DR STE 401",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442570",
"telephone_number": "305-201-1793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 GRAND CANAL DR STE 401",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442570",
"telephone_number": "305-201-1793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTAL THERAPY REHABILITATIONS CORP",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-09",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A",
"authorized_official_last_name": "GONZALEZ PEREZ",
"authorized_official_first_name": "RAQUEL",
"authorized_official_middle_name": "EMMA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-201-1793"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.