Active NPI
Gonzalez Rehab Professionals LLC.
- Physical Therapy Clinic/Center
- Miami, FL
National Provider Identifier
1669074043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A | Direct |
National Provider Directory
National Provider DirectoryLocations
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.