Organization Active NPI

Palmetto General Medical Rehab Inc

  • Health Service Clinic/Center
  • Hialeah, FL
National Provider Identifier
1679881890
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PALMETTO GENERAL MEDICAL REHAB INC
Practice address
2604 W 84 St
Hialeah, FL 33016
Phone
(305) 824-8888
Fax
(305) 824-8854
NPI assigned
Sep 22, 2010
Organization subpart
Yes
Parent organization
PALMETTO GENERAL MEDICAL REHAB INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Mr. Alberto Matos, P.A
Title
Owner
Phone
(305) 824-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X FL Primary

Addresses

Primary practice location

2604 W 84 St
Hialeah, FL 33016

Mailing address

2604 W 84TH St
Hialeah, FL 33016-5703
Phone (305) 824-8888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1679881890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 W 84TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165703",
            "telephone_number": "305-824-8888",
            "fax_number": "305-824-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 W 84 ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "305-824-8888",
            "fax_number": "305-824-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO GENERAL MEDICAL REHAB INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMETTO GENERAL MEDICAL REHAB INC",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-824-8888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 22, 2010; 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.