Physician Rehab Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME17907 Issued in FL

Legal business name

PHYSICIAN REHAB CENTER INC

Doing business as

aceso & panacea wellness center

Practice address

5801 NW 151St St
Suite 106
Miami Lakes, FL 33014-2437

Phone

(305) 828-0455

Fax

(305) 828-8455

NPI assigned

Apr 13, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jorge Luis Lopez

Title

Secretary/VP

Phone

(305) 213-4211

Specialties & licenses 1

Addresses

Other names 1

• aceso & panacea wellness center Doing business as

Locations

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1730479601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 NW 151ST ST",
            "address_2": "SUITE 106",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142437",
            "telephone_number": "305-828-0455",
            "fax_number": "305-828-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 NW 151ST ST",
            "address_2": "SUITE 106",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142437",
            "telephone_number": "305-828-0455",
            "fax_number": "305-828-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "SECRETARY/VP",
        "authorized_official_telephone_number": "305-213-4211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME17907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "aceso & panacea wellness center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physical Therapeutic Services
• Physical Therapeutic Services Corp
• Physical Therapy Now of Miami Lakes LLC
• Physicare, LLC (Physicare)
• Physician Med-Care Providers Corp
• Physicians Management Group, Inc.
• Physicians Partners Group II, LLC
• Physicians Partners Group Merger, LLC
• Physicians Partners Group of FL, LLC.
• Physicians Partners Group of Florida, LLC

• General Practice Physician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• General Practice Physician in Florida

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