NPIMap

Organization Active NPI

Palmetto Lakes Medical and Rehab Center LLC

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1740548239
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PALMETTO LAKES MEDICAL AND REHAB CENTER LLC
Practice address
1890 SW 57TH Ave
Suite 109
Miami, FL 33155-2164
Phone
(786) 299-0543
NPI assigned
May 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Authorized official

Name
Horacio Perez
Title
MRGM/Owner
Phone
(786) 299-0543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1890 SW 57TH Ave
Suite 109
Miami, FL 33155-2164

Mailing address

1890 SW 57TH Ave
Suite 109
Miami, FL 33155-2164
Phone (786) 299-0543

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1740548239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SW 57TH AVE",
            "address_2": "SUITE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552164",
            "telephone_number": "786-299-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SW 57TH AVE",
            "address_2": "SUITE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552164",
            "telephone_number": "786-299-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO LAKES MEDICAL AND REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "HORACIO",
        "authorized_official_title_or_position": "MRGM/OWNER",
        "authorized_official_telephone_number": "786-299-0543"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 23, 2014; 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.