Organization
EAST GABLES REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS M IZQUIERDO (PRESIDENT)
(305) 552-5210
Entity
Organization
Contact information
Practice address
8346 SW 40TH ST, MIAMI, FL 33155-3337
(305) 552-5210
(305) 552-5209
Mailing address
8346 SW 40TH ST, MIAMI, FL 33155-3337
(305) 552-5210
(305) 552-5209
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
09/30/2005
Last updated
08/21/2007
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