Crystal Rehabilitation Center, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC 7729 Issued in FL

Legal business name

CRYSTAL REHABILITATION CENTER, INC.

Practice address

8019 N Himes Ave
Ste 102
Tampa, FL 33614-2712

Phone

(813) 935-3939

NPI assigned

Oct 13, 2009

Organization subpart

No

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

Authorized official

Name

David Rodriguez

Title

Director

Phone

(813) 935-3939

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1720313489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 N HIMES AVE",
            "address_2": "STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 N HIMES AVE",
            "address_2": "STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142712",
            "telephone_number": "813-935-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-935-3939"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC 7729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taymi Cruz
• Victor Damaso Cruz, MD
• Yamilet Cruz
• Yenifer Cruz
• Ricardo Cruzado, MD
• Crystal Venturino DC LLC
• Crystal'S Skin & Beauty LLC
• Anne Csere, D.O.
• Laura Csere, DO
• Robert S. Csere, D. O.

• Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.