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Organization
OG REHABILITATION CENTER CORP
Active
Organization
OG REHABILITATION CENTER CORP
Active
Other names
ACT COVENANT ADVANCED HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO ESQUIVEL AGUIAR (PRESIDENT)
(305) 726-9961
Entity
Organization
Contact information
Practice address
85 GRAND CANAL DR STE 404, MIAMI, FL 33144-2571
(305) 565-1551
Mailing address
85 GRAND CANAL DR STE 404, MIAMI, FL 33144-2571
(305) 726-9961
(786) 228-0137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
12/23/2024
Last updated
10/07/2026
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