NPIMap

Organization Active NPI

Penalba Rehabilitation Medicine P a

  • Physical Medicine & Rehabilitation Physician
  • Miami, FL
National Provider Identifier
1982631495
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME0066217 Issued in FL
Legal business name
PENALBA REHABILITATION MEDICINE P A
Practice address
8700 N Kendall Dr
Suite 201
Miami, FL 33176-2206
Phone
(305) 403-2921
Fax
(305) 403-2928
NPI assigned
Jun 28, 2006
Last updated
Jul 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Claudia Penalba, MDNPI 1093742504
Title
Medical Director
Phone
(786) 662-5126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X ME0066217 FL Primary

Addresses

Primary practice location

8700 N Kendall Dr
Suite 201
Miami, FL 33176-2206

Mailing address

PO Box 557335
Miami, FL 33255-7335
Phone (305) 251-3991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902000749 FL Part B Supplier - Clinic/Group Practice 7911973862 Receives reassigned benefits from 5 practitioners
Practice locations: Coral Gables, FL; Cutler Bay, FL; Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1982631495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557335",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332557335",
            "telephone_number": "305-251-3991",
            "fax_number": "305-251-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 N KENDALL DR",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762206",
            "telephone_number": "305-403-2921",
            "fax_number": "305-403-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENALBA REHABILITATION MEDICINE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "PENALBA",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "786-662-5126",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME0066217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.