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NPI Code Detail

MEDICARE: TETRIS HEALTH CORP

MEDICARE: TETRIS HEALTH 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
1208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1144072646
Entity Type Code : Organization
Provider Name (Legal Business Name) : TETRIS HEALTH CORP
Provider Business Mailing Address
First Line : 900 W 49TH ST STE 424
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3487
Country : US
Telephone Number : 786-460-4040
Fax Number : 786-460-5050
Provider Business Practice Location Address
First Line : 900 W 49TH ST STE 424
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3487
Country : US
Telephone Number : 786-460-4040
Fax Number : 786-460-5050
Authorized Official
Title or Position : OWNER
Name : OSMANY RUIZ
Credential :
Telephone Number : 786-389-7304
Provider Enumeration Date : 04/05/2024
Last Update Date : 04/05/2024

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Directions to “TETRIS HEALTH CORP ” Practice Location

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