Organization Active NPI

Miami Medical & Rehab Center Inc.

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1740550193
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MM 28295 Issued in FL
Legal business name
MIAMI MEDICAL & REHAB CENTER INC.
Practice address
3408 W 84TH St
Suite 312
Hialeah, FL 33018-4939
Phone
(305) 558-9941
Fax
(305) 558-9951
NPI assigned
Jan 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Authorized official

Name
Ms. Arianne Monteagudo
Title
President
Phone
(305) 558-9941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MM 28295 FL Primary

Addresses

Primary practice location

3408 W 84TH St
Suite 312
Hialeah, FL 33018-4939

Mailing address

3408 W 84TH St
Suite 312
Hialeah, FL 33018-4939
Phone (305) 558-9941

Other identifiers 1

IdentifierTypeStateIssuer
HCC9337OtherFLAHCA LICENSE

National Provider Directory

National Provider Directory

Locations

3408 W 84th St
Ste 312
Hialeah, FL 33018
Phone (305) 558-9941

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1740550193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST",
            "address_2": "SUITE 312",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184939",
            "telephone_number": "305-558-9941",
            "fax_number": "305-558-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST",
            "address_2": "SUITE 312",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184939",
            "telephone_number": "305-558-9941",
            "fax_number": "305-558-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI MEDICAL & REHAB CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "MONTEAGUDO",
        "authorized_official_first_name": "ARIANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-558-9941",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MM 28295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "HCC9337",
            "state": "FL"
        }
    ],
    "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 Jun 5, 2012; 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.