Organization Active NPI

Eagle Rehabilitation Therapy Service, Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1861430266
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
HCC 6186 Issued in FL
Legal business name
EAGLE REHABILITATION THERAPY SERVICE, INC
Practice address
6714 W Flagler St
Miami, FL 33144-2924
Phone
(305) 267-1333
Fax
(305) 267-1331
NPI assigned
Jun 4, 2006
Last updated
Mar 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Mrs. Yunibel Jimenez
Title
Owner
Phone
(305) 267-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X HCC 6186 FL Primary

Addresses

Primary practice location

6714 W Flagler St
Miami, FL 33144-2924

Mailing address

6714 W Flagler St
Miami, FL 33144-2924
Phone (305) 267-1333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1861430266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442924",
            "telephone_number": "305-267-1333",
            "fax_number": "305-267-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6714 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442924",
            "telephone_number": "305-267-1333",
            "fax_number": "305-267-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE REHABILITATION THERAPY SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "YUNIBEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-267-1333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC 6186",
            "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 Mar 26, 2008; 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.