Organization Active NPI

MD Healthcare & Rehab

  • Clinic/Center
  • Miami Lakes, FL
National Provider Identifier
1942563036
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MM27455 Issued in FL
Legal business name
MD HEALTHCARE & REHAB
Practice address
7975 NW 154TH St
Ste 200
Miami Lakes, FL 33016-5863
Phone
(305) 822-2824
Fax
(305) 822-2355
NPI assigned
Jun 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Authorized official

Name
Mr. Julio Prado, PA
Title
President
Phone
(305) 822-2824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MM27455 FL Primary

Addresses

Primary practice location

7975 NW 154TH St
Ste 200
Miami Lakes, FL 33016-5863

Mailing address

7975 NW 154TH St
Ste 200
Miami Lakes, FL 33016-5863
Phone (305) 822-2824

Other identifiers 1

IdentifierTypeStateIssuer
HCC9387OtherFLAGENCY FOR HEALTH CARE

National Provider Directory

National Provider Directory

Locations

7975 NW 154th St
Ste 200
Miami Lakes, FL 33016
Phone (305) 822-2824

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1942563036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 NW 154TH ST",
            "address_2": "STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165863",
            "telephone_number": "305-822-2824",
            "fax_number": "305-822-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 NW 154TH ST",
            "address_2": "STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165863",
            "telephone_number": "305-822-2824",
            "fax_number": "305-822-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD HEALTHCARE & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-822-2824",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MM27455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY FOR HEALTH CARE",
            "identifier": "HCC9387",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

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