Organization Active NPI

Pulmonary Providers Rehab Inc.

  • Physiological Laboratory
  • Miami, FL
National Provider Identifier
1790011716
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
RT5541 AND TN7986 Issued in FL
Legal business name
PULMONARY PROVIDERS REHAB INC.
Practice address
1352 SW 75TH Ave
Miami, FL 33144-4422
Phone
(305) 266-4474
Fax
(305) 266-4474
NPI assigned
Oct 26, 2009
Last updated
Nov 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Authorized official

Name
Mr. Rafael Jorge MenendezNPI 1467594523
Title
Director
Phone
(305) 266-4474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X RT5541 AND TN7986 FL Primary

Addresses

Primary practice location

1352 SW 75TH Ave
Miami, FL 33144-4422

Mailing address

1352 SW 75TH Ave
Miami, FL 33144-4422
Phone (305) 266-4474

Other identifiers 1

IdentifierTypeStateIssuer
P09000000741OtherFLCORPORATION DOCUMENT NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1790011716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 SW 75TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444422",
            "telephone_number": "305-266-4474",
            "fax_number": "305-266-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 SW 75TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444422",
            "telephone_number": "305-266-4474",
            "fax_number": "305-266-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY PROVIDERS REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "MENENDEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "JORGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-266-4474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "FL",
            "license": "RT5541 AND  TN7986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION DOCUMENT NUMBER",
            "identifier": "P09000000741",
            "state": "FL"
        }
    ],
    "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 Nov 13, 2009; 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.