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NPI Code Detail

MEDICARE: ADVANCED RECOVERY REHAB CORP.

MEDICARE: ADVANCED RECOVERY REHAB CORP.
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
1251E00000XHome Health Agency
2225400000XRehabilitation Practitioner

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114515319
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED RECOVERY REHAB CORP.
Provider Business Mailing Address
First Line : 10300 SW 72ND ST STE 190
Second Line :
City : MIAMI
State : FL
Zip : 33173-3040
Country : US
Telephone Number : 305-639-8292
Fax Number :
Provider Business Practice Location Address
First Line : 10300 SW 72ND ST STE 190
Second Line :
City : MIAMI
State : FL
Zip : 33173-3040
Country : US
Telephone Number : 305-639-8292
Fax Number :
Authorized Official
Title or Position : PT
Name : ALVARO ALEJANDRO AGUERO
Credential :
Telephone Number : 305-639-8292
Provider Enumeration Date : 01/05/2021
Last Update Date : 07/20/2022

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Directions to “ADVANCED RECOVERY REHAB CORP. ” Practice Location

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