SOUTH DADE MEDICAL REHABILITATION (NPI# 1174533004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174533004 |
| Entity Type | Organization |
| Organization Name | SOUTH DADE MEDICAL REHABILITATION |
| Practice Address |
13208 Sw 8th St. Miami FL 33184 |
| Practice Telephone | 3052296880 |
| Practice Fax Number | 3052296970 |
| Mailing Telephone | 3052296880 |
| Mailing Fax Number | 3052296970 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JUDITH DE LAS CASAS (PRESIDENT) |
| Authorized Official Telephone | 3052296880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Street Address |
13208 SW 8TH ST. |
| City | MIAMI |
| State | FL |
| Zip Code | 33184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326657867 | Aime Nunez | Behavior Technician | 1205 Sw 136th Place, Miami, FL 33184 | 2020-07-30 |
| 1518575067 | Psych Healing Institute LLC | Community/Behavioral Health | 12542 Sw 8th Street, Miami, FL 33184 | 2020-07-21 |
| 1972139293 | Mavis Mendive De La Torre | Behavior Technician | 13797 Sw 14 St, Miami, FL 33184 | 2020-03-18 |
| 1902376544 | Kenia Roque | Behavior Technician | 11890 Sw 8 St Suite 309, Miami, FL 33184 | 2018-11-27 |
| 1205322179 | Yolaxis Alvarez | Case Manager/Care Coordinator | 931 Sw 122 Ave, Miami, FL 33184 | 2018-07-03 |
| 1265922819 | Expedited Medical Supplies Corp | Durable Medical Equipment & Medical Supplies | 12206 Sw 8th St, Suite 157, Miami, FL 33184 | 2018-05-18 |
| 1144728056 | Liz G San Martin | Nurse Practitioner | 1019 Sw 137th Pl, Miami, FL 33184 | 2018-01-25 |
| 1699280222 | Lourdes Castillo | Behavior Technician | 12015 Sw 14th St, Suite 310c, Miami, FL 33184 | 2017-12-05 |
| 1972014892 | Lisandra Lastra | Behavior Technician | 13803 Sw 9th St, Miami, FL 33184 | 2017-10-18 |
| 1265941991 | Ileana Beltran | Behavior Technician | 12010 Sw 2nd St, Miami, FL 33184 | 2017-09-26 |
| Find all providers in zip 33184 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894361 | Yemaya Medical Center LLC | Clinic/Center | 2141 Sw 1st St Ste 206a, Miami, FL 33135-5603 | 2020-05-29 |
| 1568005411 | Depena Health Group LLC | Clinic/Center | 7171 Sw 24th St Ste 316, Miami, FL 33155-1692 | 2019-10-23 |
| 1356990444 | Rehab Center Ag Inc | Clinic/Center | 1250 Sw 27th Ave Ste 506, Miami, FL 33135-4751 | 2019-09-10 |
| 1881240935 | Contender Recovery | Clinic/Center | 6821 Sw 44th St Apt 304, Miami, FL 33155-4758 | 2019-08-14 |
| 1891293668 | Petersen Medical Corp. | Clinic/Center | 7235 Coral Way Ste 213, Miami, FL 33155-1452 | 2018-01-26 |
| 1437661683 | Cora Health Services Inc | Clinic/Center | 6790 Coral Way, Miami, FL 33155-1702 | 2017-10-27 |
| 1548772049 | Cora Health Services Inc | Clinic/Center | 15449 Sw 137th Ave, Miami, FL 33177-1279 | 2017-10-25 |
| 1598276784 | Premier Pain Medical Center, Inc. | Clinic/Center | 3399 Nw 72nd Ave Ste 101, Miami, FL 33122-1355 | 2017-10-16 |
| 1386154029 | Pro Medical Institute Inc | Clinic/Center | 330 Sw 27th Ave Ste 604, Miami, FL 33135-2968 | 2017-10-09 |
| 1477078947 | Motion Recovery Corp | Clinic/Center | 12595 Sw 137th Ave Ste 104, Miami, FL 33186-4218 | 2017-08-07 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.