Organization
CENTRO DE REHABILITACION NUEVA VIDA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARITA GARCIA (PRESIDENT)
(786) 294-0453
Entity
Organization
Contact information
Practice address
1840 W 49TH ST STE 605, HIALEAH, FL 33012-2962
(786) 294-0453
(786) 294-0243
Mailing address
1840 W 49TH ST STE 605, HIALEAH, FL 33012-2962
(786) 294-0453
(786) 294-0243
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107841200
—
FL
01
—
AHCA
HCC 11078
FL
Enumeration date
11/27/2017
Last updated
05/20/2025
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