MEDICARE: MIAMI REHAB CENTER

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
1	208100000X	Physical Medicine & Rehabilitation Physician	OT1147	FL

General Provider Information

NPI Number	:	1376997155
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIAMI REHAB CENTER

Provider Business Mailing Address
First Line	:	3288 NW 36TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33142-5036
Country	:	US
Telephone Number	:	305-275-6346
Fax Number	:	305-275-6347

Provider Business Practice Location Address
First Line	:	3288 NW 36TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33142-5036
Country	:	US
Telephone Number	:	305-275-6346
Fax Number	:	305-275-6347

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANDRES ZAPATA
Credential	:	OT
Telephone Number	:	305-244-5883

Provider Enumeration Date	:	04/19/2016
Last Update Date	:	04/19/2016

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Directions to “MIAMI REHAB CENTER ” Practice Location

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