Organization Active NPI

South Bay Rehab

  • Rehabilitation Clinic/Center
  • North Miami, FL
National Provider Identifier
1972543262
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
06067989-45 Issued in FL
Legal business name
SOUTH BAY REHAB
Practice address
12404 Biscayne Blvd
Suite B
North Miami, FL 33181-2521
Phone
(305) 300-9241
Fax
(305) 541-6565
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alejandro Massani
Title
President
Phone
(305) 300-9241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 06067989-45 FL Primary

Addresses

Primary practice location

12404 Biscayne Blvd
Suite B
North Miami, FL 33181-2521

Mailing address

1850 SW 8 St
Suite 302
Miami, FL 33135-3435
Phone (305) 300-9241

National Provider Directory

National Provider Directory
Tax ID family
South Bay Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1850 SW 8th St
Ste 302
Miami, FL 33135
Phone (305) 300-9241

12404 Biscayne Blvd
Ste B
North Miami, FL 33181
Phone (305) 300-9241

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972543262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SW 8 ST",
            "address_2": "SUITE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353435",
            "telephone_number": "305-300-9241",
            "fax_number": "305-541-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12404 BISCAYNE BLVD",
            "address_2": "SUITE B",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812521",
            "telephone_number": "305-300-9241",
            "fax_number": "305-541-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASSANI",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-300-9241"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "06067989-45",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.