Miami Lakes Rehab Services Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

HCC8269 Issued in FL

Legal business name

MIAMI LAKES REHAB SERVICES INC

Practice address

13903 NW 67TH Ave
Suite # 250
Miami Lakes, FL 33014-2900

Phone

(786) 439-3996

Fax

(786) 439-3997

NPI assigned

Dec 26, 2012

Organization subpart

No

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

Authorized official

Name

Jose Zulueta

Title

President

Phone

(786) 439-3996

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1902142763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13903 NW 67TH AVE",
            "address_2": "SUITE # 250",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142900",
            "telephone_number": "786-439-3996",
            "fax_number": "786-439-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13903 NW 67TH AVE",
            "address_2": "SUITE # 250",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142900",
            "telephone_number": "786-439-3996",
            "fax_number": "786-439-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI LAKES REHAB SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "ZULUETA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-439-3996"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "HCC8269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLE MEDICAL SERVICES",
            "identifier": "HCC8269",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miami Lakes Medical Supplies, Inc.
• Miami Lakes Pediatrics PLLC
• Miami Lakes Periodontal and Cosmetic Center
• Miami Lakes Periodontal Associates
• Miami Lakes Rehab & Sports Therapy Center, Inc.
• Miami Lakes Senior Care, Inc.
• Michael C White DC PA
• Jean L Michel Vidal
• Michelle'S Fantastic Hair Inc
• Yanurky Migueles

• Multi-Specialty Clinic/Center in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.