Organization Active NPI

Marbella Rehabilitation Center, Inc

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1992436901
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Jun 28, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Marbellarehab22@gmail.com Direct

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.