Organization Active NPI

Miami Grand Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Hialeah, FL
National Provider Identifier
1689697617
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MIAMI GRAND REHABILITATION CENTER
Practice address
6135 NW 167TH St
Suite E28
Hialeah, FL 33015-4338
Phone
(305) 649-2676
Fax
(305) 643-1946
NPI assigned
Jul 25, 2006
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Sonia Llera
Title
Administrator
Phone
(305) 649-2676

Specialties & licenses 1

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

Addresses

Primary practice location

6135 NW 167TH St
Suite E28
Hialeah, FL 33015-4338

Mailing address

6135 NW 167TH St
Suite E28
Hialeah, FL 33015-4338
Phone (305) 649-2676

National Provider Directory

National Provider Directory

Locations

2760 SW 97th Ave
Apt 103
Miami, FL 33165
Phone (305) 649-2676

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1689697617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 NW 167TH ST",
            "address_2": "SUITE E28",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154338",
            "telephone_number": "305-649-2676",
            "fax_number": "305-643-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 NW 167TH ST",
            "address_2": "SUITE E28",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154338",
            "telephone_number": "305-649-2676",
            "fax_number": "305-643-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI GRAND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "LLERA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-649-2676"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "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 Jan 15, 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.