Organization
JC REHAB CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS A REALES MD (PRESIDENT)
(305) 888-8160
Entity
Organization
Contact information
Practice address
1005 E 4TH AVE, HIALEAH, FL 33010-4103
(305) 888-8160
(305) 888-8165
Mailing address
1005 EAST 4 AVENUE, HIALEAH, FL 33010
(305) 888-8160
(305) 888-8165
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/04/2009
Last updated
11/21/2011
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