Organization
ADVANCED THERAPY & REHAB CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAMILET SANTANA (PRESIDENT)
(305) 819-8755
Entity
Organization
Contact information
Practice address
7760 W 20TH AVE, HIALEAH, FL 33016-1890
(305) 819-8755
Mailing address
7760 W 20TH AVE, HIALEAH, FL 33016-1890
(305) 819-8755
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21975 HCC9397
MEDICAL DIRECTOR
FL
Enumeration date
03/20/2012
Last updated
03/20/2012
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