# SANTA MARTA CENTRO DE DIAGNOSTICO Y REHABILITACION, CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093762049
- **Authorized official:** OMAYSA RODRIGUEZ (PRESIDENT)
- **Authorized official phone:** (305) 828-0323

## Contact information

- **Practice address:** 2200 SW 16TH ST, MIAMI, FL 33145-2067
- **Practice address phone:** (305) 858-0323
- **Practice address fax:** (305) 858-1513
- **Mailing address:** 2200 SW 16TH ST, MIAMI, FL 33145-2062
- **Mailing address phone:** (305) 858-0323
- **Mailing address fax:** (305) 858-1513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | HCC6875 | FL | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 08/22/2020