Neurocognitive Rehabilitation Inc.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY0003733 Issued in FL

Legal business name

NEUROCOGNITIVE REHABILITATION INC.

Practice address

100 Miracle Mile
Suite 330
Coral Gables, FL 33134-5430

Phone

(305) 445-9554

Fax

(786) 235-1074

NPI assigned

Sep 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Nora Dieguez, PHD

Title

Vice President

Phone

(305) 445-9554

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1972811602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MIRACLE MILE",
            "address_2": "SUITE 330",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345430",
            "telephone_number": "305-445-9554",
            "fax_number": "786-235-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MIRACLE MILE",
            "address_2": "SUITE 330",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345430",
            "telephone_number": "305-445-9554",
            "fax_number": "786-235-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCOGNITIVE REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "DIEGUEZ",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-445-9554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY0003733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.