Organization
PACIFIC MEDICAL & REHABILITATION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE G VALIENTE (OWNER/PRESIDENT)
(305) 553-0560
Entity
Organization
Contact information
Practice address
8328 SW 40TH ST, MIAMI, FL 33155
(305) 553-0560
(305) 553-3666
Mailing address
8328 SW 40TH ST, MIAMI, FL 33155
(305) 553-0560
(305) 553-3666
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME23012
FL
Other
Enumeration date
01/08/2008
Last updated
01/13/2012
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