# CENTRO DE REHABILITACION NUEVA VIDA CORP

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

## Provider details

- **NPI number:** 1497547061
- **Authorized official:** BARBARITA GARCIA (CEO)
- **Authorized official phone:** (786) 294-0453

## Contact information

- **Practice address:** 1840 W 49TH ST STE 605, HIALEAH, FL 33012-2962
- **Practice address phone:** (786) 901-0308
- **Mailing address:** 1840 W 49TH ST STE 605, HIALEAH, FL 33012-2962
- **Mailing address phone:** (786) 901-0308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WI0500X | Infusion Therapy Registered Nurse | — | NULL | — |
| 163WI0500X | Infusion Therapy Registered Nurse | — | — | — |
| 163WI0600X | Infection Control Registered Nurse | — | NULL | — |
| 163WI0600X | Infection Control Registered Nurse | — | — | — |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | — |

## Other

- **Enumeration date:** 05/20/2025
- **Last updated:** 05/20/2025
