Organization Active NPI

Service Medical Rehabilitation

  • Community Health Clinic/Center
  • Hialeah, FL
National Provider Identifier
1780636878
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
600195-2 Issued in FL
Legal business name
SERVICE MEDICAL REHABILITATION
Practice address
3750 W 16TH Ave
Suite 140 U
Hialeah, FL 33012-4654
Phone
(305) 826-5567
Fax
(305) 826-5568
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Juan A Nieves Sr.
Title
President
Phone
(305) 826-5567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 600195-2 FL Primary

Addresses

Primary practice location

3750 W 16TH Ave
Suite 140 U
Hialeah, FL 33012-4654

Mailing address

3750 W 16TH Ave
Suite 140 U
Hialeah, FL 33012-4654
Phone (305) 826-5567

National Provider Directory

National Provider Directory

Locations

3750 W 16th Ave
Ste 140U
Hialeah, FL 33012
Phone (305) 826-5567

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780636878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE",
            "address_2": "SUITE 140 U",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124654",
            "telephone_number": "305-826-5567",
            "fax_number": "305-826-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE",
            "address_2": "SUITE 140 U",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124654",
            "telephone_number": "305-826-5567",
            "fax_number": "305-826-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE MEDICAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-826-5567",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "FL",
            "license": "600195-2",
            "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 22, 2020; 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.