Mind and Body Rehab Medical Group, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MIND AND BODY REHAB MEDICAL GROUP, INC.

Practice address

7925 NW 12TH St Ste 118
Doral, FL 33126-1820

Phone

(305) 608-8197

NPI assigned

Nov 5, 2019

Organization subpart

No

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

Authorized official

Name

Abel Avila

Title

President

Phone

(786) 251-1646

Specialties & licenses 2

Addresses

Other names 1

• MIND AND BODY REHAB MEDICAL GROUP INC Former legal business name

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mind and Body Rehab Medical Group, Inc.

  • Case Management Agency
  • Doral, FL
  • NPI 1316683535
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Silmer Santana

  • Case Manager/Care Coordinator
  • Miami, FL
  • NPI 1902542111
  NPD

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1871137679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 NW 12TH ST STE 118",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261820",
            "telephone_number": "305-608-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7925 NW 12TH ST STE 118",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261820",
            "telephone_number": "305-608-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND BODY REHAB MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "ABEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-251-1646"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIND AND BODY REHAB MEDICAL GROUP INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Charity Minana
• Jeanette Mincey, REGISTERED NURSE
• Mind and Body Rehab Medical Group, Inc.
• Mind, Body and Soul Counseling Services
• Mindcare by M&S LLC
• Mindful Minds ABA Solutions LLC
• Keyhla Mino
• Mirabal Recovery Center Corp

• Adult Mental Health Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.