NPIMap

Organization Active NPI

Professional Medical Physical Health LLC

  • Rehabilitation Clinic/Center
  • Hialeah, FL
National Provider Identifier
1972633600
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PROFESSIONAL MEDICAL PHYSICAL HEALTH LLC
Practice address
489 Hialeah Dr
Unit 6
Hialeah, FL 33010-5320
Phone
(305) 805-5447
Fax
(305) 805-5447
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Manuel A Rodriguez
Title
Owner
Phone
(305) 805-5447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

489 Hialeah Dr
Unit 6
Hialeah, FL 33010-5320

Mailing address

489 Hialeah Dr
Unit 6
Hialeah, FL 33010-5320
Phone (305) 805-5447

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1972633600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 HIALEAH DR",
            "address_2": "UNIT 6",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105320",
            "telephone_number": "305-805-5447",
            "fax_number": "305-805-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 HIALEAH DR",
            "address_2": "UNIT 6",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105320",
            "telephone_number": "305-805-5447",
            "fax_number": "305-805-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL PHYSICAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-805-5447"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.