MEDICARE: MAX REHABILITATION CENTER,INC

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	261Q00000X	Clinic/Center	462200-8	FL

General Provider Information

NPI Number	:	1407963721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAX REHABILITATION CENTER,INC

Provider Business Mailing Address
First Line	:	1255 W 46TH ST STE 7-A
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3257
Country	:	US
Telephone Number	:	305-828-4201
Fax Number	:	305-828-4203

Provider Business Practice Location Address
First Line	:	1255 W 46TH ST
Second Line	:	SUITE # 7 - A
City	:	HIALEAH
State	:	FL
Zip	:	33012-3283
Country	:	US
Telephone Number	:	305-828-4201
Fax Number	:	305-828-4203

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	MISS LUIS F VERDECIA
Credential	:	MD
Telephone Number	:	305-828-4201

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	08/01/2008

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Directions to “MAX REHABILITATION CENTER,INC ” Practice Location

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