# MIAMI LAKES REHAB SERVICES INC

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

## Provider details

- **NPI number:** 1902142763
- **Authorized official:** JOSE ZULUETA (PRESIDENT)
- **Authorized official phone:** (786) 439-3996

## Contact information

- **Practice address:** 13903 NW 67TH AVE, SUITE \# 250, MIAMI LAKES, FL 33014-2900
- **Practice address phone:** (786) 439-3996
- **Practice address fax:** (786) 439-3997
- **Mailing address:** 13903 NW 67TH AVE, SUITE \# 250, MIAMI LAKES, FL 33014-2900
- **Mailing address phone:** (786) 439-3996
- **Mailing address fax:** (786) 439-3997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | HCC8269 | FL | Yes |

## Other

- **Enumeration date:** 12/26/2012
- **Last updated:** 12/26/2012