Organization Active NPI

Gonzalez Rehab Professionals LLC.

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1669074043
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GONZALEZ REHAB PROFESSIONALS LLC.
Practice address
175 Fontainebleau Blvd Ste 1P
Miami, FL 33172-4511
Phone
(786) 542-8777
Fax
(786) 542-8792
NPI assigned
Nov 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Authorized official

Name
Malvy Diaz
Title
President
Phone
(786) 542-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

175 Fontainebleau Blvd Ste 1P
Miami, FL 33172-4511

Mailing address

175 Fontainebleau Blvd Ste 1P
Miami, FL 33172-4511
Phone (786) 542-8777

Other names 1

  • Gonzalez Rehab Professionals LLC. Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A Direct

National Provider Directory

National Provider Directory

Locations

175 Fontainebleau Blvd
Ste 1P
Miami, FL 33172
Phone (305) 226-6669

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1669074043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 1P",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724511",
            "telephone_number": "786-542-8777",
            "fax_number": "786-542-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 1P",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724511",
            "telephone_number": "786-542-8777",
            "fax_number": "786-542-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALEZ REHAB PROFESSIONALS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MALVY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-542-8777"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "Medical Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "175 Fontainebleau Blvd Ste 1P",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331724511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gonzalez Rehab Professionals LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 11, 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.