Organization Active NPI

New Life Rehab Medical Center Inc

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1659561728
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC6968 Issued in FL
Legal business name
NEW LIFE REHAB MEDICAL CENTER INC
Practice address
1560 W 37TH St
Hialeah, FL 33012-4624
Phone
(305) 403-2345
Fax
(305) 403-2346
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Alexander Juan
Title
President Owner
Phone
(305) 403-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC6968 FL Primary

Addresses

Primary practice location

1560 W 37TH St
Hialeah, FL 33012-4624

Mailing address

1560 W 37TH St
Hialeah, FL 33012-4624
Phone (305) 403-2345

Other identifiers 1

IdentifierTypeStateIssuer
HCC6968OtherFLAHCA LICENSE

National Provider Directory

National Provider Directory

Locations

1560 W 37th St
Hialeah, FL 33012
Phone (305) 403-2345

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1659561728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 W 37TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124624",
            "telephone_number": "305-403-2345",
            "fax_number": "305-403-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 W 37TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124624",
            "telephone_number": "305-403-2345",
            "fax_number": "305-403-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE REHAB MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "JUAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "305-403-2345"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC6968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "HCC6968",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.