Active NPI
South Broward Rehab Services LLC
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Hialeah, FL
National Provider Identifier
1891725453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Legal business name
- SOUTH BROWARD REHAB SERVICES LLC
- Practice address
- 2021 W 62ND St
Hialeah, FL 33016-2678 - Phone
- (305) 698-0096
- Fax
- (305) 698-0098
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin A Valdes
- Title
- Manager
- Phone
- (305) 698-0096
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Primary |
Addresses
Primary practice location
2021 W 62ND St
Hialeah, FL 33016-2678
Mailing address
2021 W 62ND St
Hialeah, FL 33016-2678
Phone (305) 698-0096
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- Miami, FL
- NPI 1407525835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227225600000",
"number": "1891725453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 W 62ND ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330162678",
"telephone_number": "305-698-0096",
"fax_number": "305-698-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 W 62ND ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330162678",
"telephone_number": "305-698-0096",
"fax_number": "305-698-0098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH BROWARD REHAB SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2008-11-21",
"status": "A",
"authorized_official_last_name": "VALDES",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "305-698-0096"
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
- Danis M Sotomayor
- South Beach Orthotics & Prosthetics Inc
- South Beach Orthotics & Prosthetics LLC
- South Beach Orthotics & Prosthetics, Inc
- South Broward Hospital District
- South Broward Rehabilitaton
- South Coast Physical Therapy Inc
- South Florida Anesthesia Associates PA
- South Florida Autism Center
- South Florida Autism Charter Schools, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.