Active NPI
Marbella Rehabilitation Center, Inc
- Clinic/Center
- Tampa, FL
National Provider Identifier
1992436901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MARBELLA REHABILITATION CENTER, INC
- Practice address
- 5101 N Armenia Ave Ste B
Tampa, FL 33603-1405 - Phone
- (813) 353-1303
- Fax
- (813) 353-1304
- NPI assigned
- Jun 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gustavo Serrano
- Title
- Medical Director
- Phone
- (813) 353-1303
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
5101 N Armenia Ave Ste B
Tampa, FL 33603-1405
Mailing address
PO Box 263248
Tampa, FL 33685-3248
Other names 1
- Marbella Rehabilitation Center, Inc
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Marbellarehab22@gmail.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656374400000",
"number": "1992436901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 263248",
"city": "TAMPA",
"state": "FL",
"postal_code": "336853248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 N ARMENIA AVE STE B",
"city": "TAMPA",
"state": "FL",
"postal_code": "336031405",
"telephone_number": "813-353-1303",
"fax_number": "813-353-1304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARBELLA REHABILITATION CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-21",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A",
"authorized_official_last_name": "SERRANO",
"authorized_official_first_name": "GUSTAVO",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "813-353-1303"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Marbellarehab22@gmail.com",
"affiliation": "N",
"endpointDescription": "n/a",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "5101 N Armenia Ave Ste B",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336031405",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Marbella Rehabilitation Center, Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.