L R Rehabilitation Corp

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

HCC8153 Issued in FL

Legal business name

L R REHABILITATION CORP

Practice address

9995 SW 72ND St
Ste 202
Miami, FL 33173-4662

Phone

(786) 360-1684

Fax

(786) 953-8431

NPI assigned

Feb 9, 2012

Organization subpart

No

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

Authorized official

Name

Mauricio Diaz

Title

President

Phone

(786) 360-1684

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1932471760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9995 SW 72ND ST",
            "address_2": "STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734662",
            "telephone_number": "786-360-1684",
            "fax_number": "786-953-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9995 SW 72ND ST",
            "address_2": "STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734662",
            "telephone_number": "786-360-1684",
            "fax_number": "786-953-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L R REHABILITATION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-360-1684"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "HCC8153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.