Southern Rehabilitation Group LLC
NPI 1104489079 · Developmental Disabilities Clinic/Center · Miami Lakes, FL
Southern Rehabilitation Group LLC is a Developmental Disabilities Clinic/Center organization in Miami Lakes, FL (NPI 1104489079).
Provider details
- NPI number
- 1104489079
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vivian Blanco Lezcano, Owner(786) 319-0748
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-04-17
- Last updated
- 2019-04-17
Frequently asked questions
- What is Southern Rehabilitation Group LLC's NPI number?
- Southern Rehabilitation Group LLC's National Provider Identifier (NPI) is 1104489079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Rehabilitation Group LLC?
- Southern Rehabilitation Group LLC is classified in the NPPES registry as Developmental Disabilities Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Rehabilitation Group LLC located?
- Southern Rehabilitation Group LLC's practice location on file with NPPES is 6447 Miami Lakes Dr E Ste 200e, Miami Lakes, FL 33014-2706.
- What is Southern Rehabilitation Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Rehabilitation Group LLC is (786) 319-0748.
- Who is the authorized official for Southern Rehabilitation Group LLC?
- The authorized official listed on Southern Rehabilitation Group LLC's NPPES record is Vivian Blanco Lezcano, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Rehabilitation Group LLC's NPI active?
- Yes — Southern Rehabilitation Group LLC's NPI (1104489079) is active in the NPPES registry as of the last update on 2019-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.