NPIMap

Organization Active NPI

Excellent Rehab and Medical Staffing Center, Inc.

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1689941296
Registry record updated Nov 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC9513 Issued in FL
Legal business name
EXCELLENT REHAB AND MEDICAL STAFFING CENTER, INC.
Practice address
782 NW 42ND Ave
Suite#635
Miami, FL 33126-5541
Phone
(305) 444-4669
Fax
(305) 444-4633
NPI assigned
Nov 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2011

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

Authorized official

Name
Mr. Eduardo Benitez I, OWNER
Title
Owner
Phone
(305) 444-4669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC9513 FL Primary

Addresses

Primary practice location

782 NW 42ND Ave
Suite#635
Miami, FL 33126-5541

Mailing address

782 NW 42ND Ave
Suite#635
Miami, FL 33126-5541
Phone (305) 444-4669

Other names 1

  • Excellent Rehab and Medical Staffing Center, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

782 NW 42nd Ave
Ste 635
Miami, FL 33126
Phone (305) 444-4669

NPI Registry JSON

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

{
    "created_epoch": "1322352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322352000000",
    "number": "1689941296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 NW 42ND AVE",
            "address_2": "SUITE#635",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265541",
            "telephone_number": "305-444-4669",
            "fax_number": "305-444-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 NW 42ND AVE",
            "address_2": "SUITE#635",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265541",
            "telephone_number": "305-444-4669",
            "fax_number": "305-444-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT REHAB AND MEDICAL STAFFING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-27",
        "last_updated": "2011-11-27",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-444-4669",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC9513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excellent Rehab and Medical Staffing Center, Inc.",
            "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 27, 2011; 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.