ST LOUIS REHABILITATION PROGRAM INC. (NPI# 1770510216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770510216 |
| Entity Type | Organization |
| Organization Name | ST LOUIS REHABILITATION PROGRAM INC. |
| Practice Address |
4005 Nw 114th Ave Suite 5 Doral FL 33178-4374 |
| Practice Telephone | 3054706263 |
| Practice Fax Number | 3054706540 |
| Mailing Telephone | 3054706263 |
| Mailing Fax Number | 3054706540 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. SEBASTIAN N SILVERA (ADMINISTRATOR) |
| Authorized Official Telephone | 3054706263 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
FL | Ambulatory Health Care Facilities |
| Street Address |
4005 NW 114TH AVE SUITE 5 |
| City | DORAL |
| State | FL |
| Zip Code | 33178-4374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730134511 | Doral Medical Office Corp | Specialist | 4005 Nw 114th Ave, Suite 22, Doral, FL 33178-4374 | 2006-05-23 |
| 1376898700 | Magdalena Perez Rivera Md Pl | Internal Medicine | 4005 Nw 114th Ave, Suite 3, Doral, FL 33178-4374 | 2012-07-23 |
| 1558633941 | Richard Michael Dreize Md Pl | Psychiatry & Neurology | 4005 Nw 114th Ave, Ste 3, Doral, FL 33178-4374 | 2012-02-01 |
| 1467769497 | We Care Medical Group | General Practice | 4005 Nw 114th Ave, Suite 26, Doral, FL 33178-4374 | 2010-09-13 |
| 1164674040 | Martha Hernandez-illas Pa | Internal Medicine | 4005 Nw 114th Ave, Suite 3, Doral, FL 33178-4374 | 2008-10-22 |
| 1972796514 | Family &pediatric Medical Center Inc | Family Medicine | 4005 Nw 114th Ave, Suite 2, Doral, FL 33178-4374 | 2007-08-27 |
| 1750400479 | Carmen Palacio | Physical Therapist | 4005 Nw 114th Ave, Suite 20, Doral, FL 33178-4374 | 2007-03-28 |
| 1912915604 | Jorge G Cheng | Physician Assistant | 4005 Nw 114th Ave, Suite 22, Doral, FL 33178-4374 | 2006-08-04 |
| 1740210475 | On The Way Home Care, Inc | Home Health | 4005 Nw 114th Ave, Suite 4, Doral, FL 33178 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571801 | The Velis Brothers Dental Team | Dentist | 10449 Nw 41 St., Doral, FL 33178 | 2020-09-03 |
| 1316598188 | Marli Catturini Echegoyen | Behavior Technician | 8652 Nw 112th Ct, Doral, FL 33178 | 2019-09-24 |
| 1700343043 | Matilde Lidia Lewis | Registered Nurse | 9915 Nw 41 St, Suite 230, Doral, FL 33178 | 2019-02-22 |
| 1700366622 | Polyclinic Healthcare Corp | Family Medicine | 10800 Nw 58th St, Doral, FL 33178 | 2018-08-20 |
| 1689022691 | Zeida M Prendes-guerra | Behavioral Analyst | 5620 Nw 107th Ave Apt 1512, Doral, FL 33178 | 2016-05-31 |
| 1437519014 | Isel Gonzalez | Nurse Practitioner | 11573 Nw 69 Terr, Doral, FL 33178 | 2016-02-25 |
| 1114335189 | Mia Mccarthy | Student in an Organized Health Care Education/Training Program | 10045 Nw 46th St, Doral, FL 33178 | 2014-07-23 |
| 1043641269 | Ultimate Performance Fitness Consultants Pl | Clinic/Center | 9831 Nw 58th St #130, Doral, FL 33178 | 2013-12-13 |
| 1871924845 | Silvana Newman | Behavioral Analyst | 8249 Nw 36th Street Suite 206, Miami, FL 33178 | 2013-12-02 |
| 1154755478 | Dina Garabedian | Physician Assistant | 7952 Nw 114th Ct, Miami, FL 33178 | 2013-08-22 |
| Find all providers in zip 33178 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1154357465 | Tropical Physical Therapy Corp. | Clinic/Center | 8290 Nw 27th St, Suite 602, Doral, FL 33122-1907 | 2006-06-26 |
| 1386686178 | Dade Medical Rehab Center, Corp | Clinic/Center | 2674 Nw 97th Ave, Doral, FL 33172-1400 | 2006-06-13 |
| 1154301992 | Metro Med Care Rehab Inc | Clinic/Center | 7884 Nw 52nd St, Doral, FL 33166-4742 | 2006-01-18 |
| 1790762896 | United Medical Rehabilitation Group | Clinic/Center | 9300 Nw 25th St, Suite 106, Doral, FL 33172-1506 | 2005-12-29 |
| 1649269960 | Doral Therapy Servces Inc | Clinic/Center | 1200 Nw 78th Ave, Ste 114, Doral, FL 33126-1835 | 2005-10-19 |
| 1245244078 | Daily Medical Center Inc | Clinic/Center | 1414 Nw 107th Ave, Suite 310, Doral, FL 33172-2732 | 2006-07-28 |
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|---|---|---|---|---|
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| 1245750967 | Semper Therapy Center Inc | Clinic/Center | 8500 Sw 8th Street, Suite 224, Miami, FL 33144 | 2017-06-23 |
| 1477089274 | Sardonyx Group Therapy Inc | Clinic/Center | 4320 W Broward Blvd Ste 4, Plantation, FL 33317-3756 | 2017-05-11 |
| 1548637671 | Lilypad Counseling Services | Clinic/Center | 9589 Verona Lakes Blvd, Boynton Beach, FL 33472-2759 | 2015-08-24 |
| 1144619610 | Tnr Staffing, LLC | Clinic/Center | 6141 Lakae Worth Road, Lake Worth, FL 33463-3807 | 2015-01-21 |
| 1144562612 | Jl X Ray Options, Inc | Clinic/Center | 10340 Nw 36th Ct, Miami, FL 33147-1036 | 2013-03-22 |
| 1609122639 | Ariel Perez | Clinic/Center | 4070 Nw 5 St, Miami, FL 33126 | 2012-07-27 |
| 1942572805 | Instituto Medico Del Dolor LLC | Clinic/Center | 717 Ponce De Leon Blvd Ste 218, Coral Gables, FL 33134-2048 | 2012-02-07 |
| 1902174683 | Pulyterapia Spa Corp | Clinic/Center | 9369 Fountainbleau Blvd Apt J108, Miami, FL 33172-5629 | 2011-12-08 |
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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.