Organization
MIAMI REHAB CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS FERNANDO ROA (RPT)
(786) 553-2002
Entity
Organization
Contact information
Practice address
11300 NW 87TH CT, SUITE # 157, HIALEAH GARDENS, FL 33018-4586
(786) 762-3915
(786) 762-3916
Mailing address
11300 NW 87TH CT, SUITE # 157, HIALEAH GARDENS, FL 33018-4586
(786) 762-3915
(786) 762-3916
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
PT22682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT22682
PHYSICAL THERAPIST
FL
Enumeration date
05/15/2015
Last updated
05/15/2015
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