# JDR REHAB, INC.

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

## Provider details

- **NPI number:** 1891951273
- **Authorized official:** MR. DAMIAN MACIAS (PRESIDENT)
- **Authorized official phone:** (786) 712-4740

## Contact information

- **Practice address:** 5209 NW 74TH AVE, SUITE 101, MIAMI, FL 33166-4800
- **Practice address phone:** (786) 547-4010
- **Practice address fax:** (305) 594-4088
- **Mailing address:** 5209 NW 74TH AVE, SUITE 101, MIAMI, FL 33166-4800
- **Mailing address phone:** (786) 547-4010
- **Mailing address fax:** (305) 594-4088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2008
- **Last updated:** 08/05/2008
