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NPI Code Detail

MEDICARE: GENERAL REHABILITATION FACILITY CO

MEDICARE: GENERAL REHABILITATION FACILITY CO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1043298128
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENERAL REHABILITATION FACILITY CO
Provider Business Mailing Address
First Line : 855 E 10TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4645
Country : US
Telephone Number : 305-882-7038
Fax Number : 305-885-4475
Provider Business Practice Location Address
First Line : 855 E 10TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4645
Country : US
Telephone Number : 305-882-7038
Fax Number : 305-885-4475
Authorized Official
Title or Position : PRESIDENT
Name : GERARDO JIMENEZ
Credential :
Telephone Number : 305-882-7038
Provider Enumeration Date : 01/09/2006
Last Update Date : 06/04/2013

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Directions to “GENERAL REHABILITATION FACILITY CO ” Practice Location

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