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KRYSTAL REHABILITATION SERVICES, CORP
NPI 1982039442
Clinic/Center - Health Service in Miami Lakes, FL

Active since September 03, 2013
6187 NW 167TH ST STE H13, MIAMI LAKES, FL 33015(305) 599-5258(305) 599-5259 Get Directions Write a Review

NPPES record last updated: October 29, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Health Service

About KRYSTAL REHABILITATION SERVICES, CORP

This page provides the complete NPI Profile along with additional information for Krystal Rehabilitation Services, Corp, a provider established in Miami Lakes, Florida operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1982039442 assigned on September 2013. The practitioner's primary taxonomy code is 261QH0100X with license number HCC9762 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mr. Jorge Luis Gonzalez (President)

NPI
1982039442 Verify this NPI
Provider Name
KRYSTAL REHABILITATION SERVICES, CORP
Entity Type
Organization
Location Address
6187 NW 167TH ST STE H13 MIAMI LAKES, FL 33015
Location Phone
(305) 599-5258
Location Fax
(305) 599-5259
Mailing Address
6187 NW 167TH ST STE H13 MIAMI LAKES, FL 33015
Mailing Phone
(305) 599-5258
Mailing Fax
(305) 599-5259
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-03-2013
Last Update Date
10-29-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
HCC9762
License State
FL

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JORGE LUIS GONZALEZ

Authorized Official Title
PRESIDENT
Authorized Official Phone
(305) 599-5258

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Frequently Asked Questions

What is KRYSTAL REHABILITATION SERVICES, CORP's NPI number?

The NPI number assigned to this healthcare provider is 1982039442, enumerated as an "organization" on September 03, 2013.

Where is the provider located?

The provider is located at 6187 NW 167TH ST STE H13 MIAMI LAKES, FL 33015 and the phone number is (305) 599-5258.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.