Organization Active NPI

Southern Corf, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Coral Gables, FL
National Provider Identifier
1720017668
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
SOUTHERN CORF, INC.
Practice address
770 Ponce de Leon Blvd
Suite 101
Coral Gables, FL 33134-2065
Phone
(305) 774-4644
Fax
(305) 774-4648
NPI assigned
Jul 2, 2006
Last updated
Sep 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Alina Mendez
Title
Ceo
Phone
(786) 554-3854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU Primary

Addresses

Primary practice location

770 Ponce de Leon Blvd
Suite 101
Coral Gables, FL 33134-2065

Mailing address

770 Ponce de Leon Blvd
Suite 1
Coral Gables, FL 33134-2065
Phone (305) 774-4644

National Provider Directory

National Provider Directory

Locations

770 Ponce de Leon Blvd
Ste 1
Coral Gables, FL 33134

770 Ponce de Leon Blvd
Ste 101
Coral Gables, FL 33134
Phone (305) 774-4644

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1720017668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 PONCE DE LEON BLVD",
            "address_2": "SUITE 1",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342065",
            "telephone_number": "305-774-4644",
            "fax_number": "305-774-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PONCE DE LEON BLVD",
            "address_2": "SUITE 101",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342065",
            "telephone_number": "305-774-4644",
            "fax_number": "305-774-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CORF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-554-3854"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.