Organization
SAN DIEGO MEDICAL AND REHAB CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN HEREDIA (PRESIDENT)
(786) 587-6712
Entity
Organization
Contact information
Practice address
6600 TAFT ST, SUITE 303, HOLLYWOOD, FL 33024-4040
(786) 587-6712
Mailing address
4800 W FLAGLER ST, CORAL GABLES, FL 33134-1446
(786) 587-6712
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
08/22/2020
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