NPIMap

Organization Active NPI

Blue Rehab Center Corp

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1982879615
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC6302 Issued in FL
Legal business name
BLUE REHAB CENTER CORP
Practice address
7392 NW 35TH Ter
206
Miami, FL 33122-1271
Phone
(786) 331-8214
Fax
(786) 331-8215
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Mr. Eduardo Rodriguez
Title
President
Phone
(786) 331-8214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC6302 FL Primary

Addresses

Primary practice location

7392 NW 35TH Ter
206
Miami, FL 33122-1271

Mailing address

7392 NW 35TH Ter
206
Miami, FL 33122-1271
Phone (786) 331-8214

Other identifiers 1

IdentifierTypeStateIssuer
HCC6302OtherFLAHCA LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Blue Rehab Center Corp2 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.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1982879615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7392 NW 35TH TER",
            "address_2": "206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221271",
            "telephone_number": "786-331-8214",
            "fax_number": "786-331-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7392 NW 35TH TER",
            "address_2": "206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221271",
            "telephone_number": "786-331-8214",
            "fax_number": "786-331-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE REHAB CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-331-8214",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC6302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "HCC6302",
            "state": "FL"
        }
    ],
    "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 Apr 24, 2008; 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.