Revive Community Mental Health Clinics, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

REVIVE COMMUNITY MENTAL HEALTH CLINICS, LLC

Practice address

5353 SW 8TH St
Coral Gables, FL 33134-2269

Phone

(305) 649-4777

Fax

(305) 649-2634

NPI assigned

May 1, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Abelardo Rivera

Title

Chairman

Phone

(305) 779-3738

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1811518723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342269",
            "telephone_number": "305-649-4777",
            "fax_number": "305-649-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342269",
            "telephone_number": "305-649-4777",
            "fax_number": "305-649-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE COMMUNITY MENTAL HEALTH CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ABELARDO",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "305-779-3738",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene Perez DO PA
• Karl Alexander Rennalls, MS, ATC, LAT
• Dena Ann Restaino, PT, DPT
• Return to Play Institute, LLC
• Jasmine Alyssa Revan, RBT
• Rewind Medical, PC
• Mauricio Rey, CRNA (APRN)
• Isabel Cristina Reyes Cabrera
• Victor R Reyes Castillo
• Mauricio Reyes Perez

• Mental Health Clinic/Center (Including Community Mental Health Center) in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.