Organization
PROFESSIONAL REHABILITATION CENTER INC
Active
Organization
PROFESSIONAL REHABILITATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DE LA RIVA (DIRECTOR)
(305) 666-2888
Entity
Organization
Contact information
Practice address
6595 NW 36TH ST, SUITE 202, VIRGINIA GARDENS, FL 33166-6979
(305) 666-2888
Mailing address
6595 NW 36TH ST, SUITE 202, VIRGINIA GARDENS, FL 33166-6979
(305) 666-2888
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
HCC4495
FL
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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