Organization
PROFESSIONAL PAIN REHAB CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL ESPINOSA (PRESIDENT/OWNER)
(786) 366-9833
Entity
Organization
Contact information
Practice address
5040 NW 7TH ST, SUITE 635, MIAMI, FL 33126-3422
(786) 366-9833
Mailing address
5040 NW 7TH ST, SUITE 635, MIAMI, FL 33126-3422
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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