Organization
SAN JUDE REHAB AND MEDICAL CENTER, CORP.
Active
Organization
SAN JUDE REHAB AND MEDICAL CENTER, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINORAH GONZALEZ (PRESIDENT)
(305) 456-6803
Entity
Organization
Contact information
Practice address
8302 NW 103RD ST, SUITE 202, HIALEAH GARDENS, FL 33016-4697
(305) 456-6803
Mailing address
8302 NW 103RD ST, SUITE 202, HIALEAH GARDENS, FL 33016-4697
(305) 456-6803
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC9743
FL
Other
Enumeration date
01/09/2013
Last updated
07/03/2013
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