Organization
PAIN RELIEF REHAB MEDICAL CENTER, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAUSTO P CASTILLO MD (PRESIDENT)
(786) 346-4141
Entity
Organization
Contact information
Practice address
3750 W 16TH AVE STE 138U, HIALEAH, FL 33012-4661
(786) 346-4141
(786) 346-4142
Mailing address
3750 W 16TH AVE STE 138U, HIALEAH, FL 33012-4661
(786) 346-4141
(786) 346-4142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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