Organization
VISTA MEDICAL REHEB CENTER. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS TRUTIE COUTIN MT (OWNER)
(786) 487-1786
Entity
Organization
Contact information
Practice address
4355 W 16 AVE SUITE 212, HIALEAH, FL 33012-7670
(786) 487-1786
Mailing address
4355 W 16TH AVE STE 212, HIALEAH, FL 33012-7670
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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