NPIMap

Organization Active NPI

Coral Gables Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Coral Gables, FL
National Provider Identifier
1871802256
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
MM25354 Issued in FL
Legal business name
CORAL GABLES REHABILITATION CENTER
Practice address
4475 SW 8TH St
Coral Gables, FL 33134-2562
Phone
(786) 360-4065
Fax
(786) 360-4080
NPI assigned
Oct 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Joel Alfredo Quintana, LMT
Title
President
Phone
(786) 360-4065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X MM25354 FL Primary

Addresses

Primary practice location

4475 SW 8TH St
Coral Gables, FL 33134-2562

Mailing address

4475 SW 8TH St
Coral Gables, FL 33134-2562
Phone (786) 360-4065

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1871802256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342562",
            "telephone_number": "786-360-4065",
            "fax_number": "786-360-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342562",
            "telephone_number": "786-360-4065",
            "fax_number": "786-360-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL GABLES REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "ALFREDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-360-4065",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "MM25354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.