# CENTRO DE REHABILITACION NUEVA VIDA CORP

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

## Provider details

- **NPI number:** 1194239368
- **Authorized official:** BARBARITA GARCIA (PRESIDENT)
- **Authorized official phone:** (786) 294-0453

## Contact information

- **Practice address:** 1840 W 49TH ST STE 605, HIALEAH, FL 33012-2962
- **Practice address phone:** (786) 294-0453
- **Practice address fax:** (786) 294-0243
- **Mailing address:** 1840 W 49TH ST STE 605, HIALEAH, FL 33012-2962
- **Mailing address phone:** (786) 294-0453
- **Mailing address fax:** (786) 294-0243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WI0600X | Infection Control Registered Nurse | — | — | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | — | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |

## Other

- **Enumeration date:** 11/27/2017
- **Last updated:** 05/20/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 107841200 | — | FL |
| 01 | — | AHCA | HCC 11078 | FL |