Infinity Rehab Center Inc.

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

Legal business name

INFINITY REHAB CENTER INC.

Practice address

200 Leslie Dr Apt 807
Hallandale Beach, FL 33009-7317

Phone

(954) 304-0447

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Fernando Soutullo

Title

President

Phone

(786) 306-0778

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659386191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LESLIE DR APT 807",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097317",
            "telephone_number": "954-304-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LESLIE DR APT 807",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097317",
            "telephone_number": "954-304-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY REHAB CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOUTULLO",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-306-0778"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.