Organization Active NPI

Odoroso Medical Center Inc

  • Rehabilitation Clinic/Center
  • Hialeah, FL
National Provider Identifier
1720411168
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ODOROSO MEDICAL CENTER INC
Practice address
4501 Palm Ave Ste 206
Hialeah, FL 33012-4076
Phone
(786) 334-6732
Fax
(786) 452-0753
NPI assigned
Aug 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Luis Reyes
Title
Owner/Ceo
Phone
(786) 334-6732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X FL Primary

Addresses

Primary practice location

4501 Palm Ave Ste 206
Hialeah, FL 33012-4076

Mailing address

4501 Palm Ave Ste 206
Hialeah, FL 33012-4076
Phone (786) 334-6732

National Provider Directory

National Provider Directory

Locations

4501 Palm Ave
Ste 206
Hialeah, FL 33012
Phone (305) 557-3351

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1720411168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 PALM AVE STE 206",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124076",
            "telephone_number": "786-334-6732",
            "fax_number": "786-452-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 PALM AVE STE 206",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124076",
            "telephone_number": "786-334-6732",
            "fax_number": "786-452-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODOROSO MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "786-334-6732"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "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 Aug 20, 2013; 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.