Organization
SERVICE MEDICAL REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN A NIEVES SR. (PRESIDENT)
(305) 826-5567
Entity
Organization
Contact information
Practice address
3750 W 16TH AVE, SUITE 140 U, HIALEAH, FL 33012-4654
(305) 826-5567
(305) 826-5568
Mailing address
3750 W 16TH AVE, SUITE 140 U, HIALEAH, FL 33012-4654
(305) 826-5567
(305) 826-5568
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
600195-2
FL
Other
Enumeration date
05/17/2006
Last updated
08/22/2020
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