Organization Active NPI

Mental Therapy Rehabilitations Corp

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1629693387
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jan 21, 2021

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.