# OG REHABILITATION CENTER CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ACT COVENANT ADVANCED HEALTH CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255149233
- **Authorized official:** ROBERTO ESQUIVEL AGUIAR (PRESIDENT)
- **Authorized official phone:** (305) 726-9961

## Contact information

- **Practice address:** 85 GRAND CANAL DR STE 404, MIAMI, FL 33144-2571
- **Practice address phone:** (305) 565-1551
- **Mailing address:** 85 GRAND CANAL DR STE 404, MIAMI, FL 33144-2571
- **Mailing address phone:** (305) 726-9961
- **Mailing address fax:** (786) 228-0137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 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 | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/23/2024
- **Last updated:** 10/07/2026