MEDICARE: US 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	261QH0100X	Health Service Clinic/Center	ME71266	FL

General Provider Information

NPI Number	:	1508275728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	US REHABILITATION CENTER INC

Provider Business Mailing Address
First Line	:	2400 W 2ND AVE STE 4
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-1518
Country	:	US
Telephone Number	:	305-796-9208
Fax Number	:	786-345-5930

Provider Business Practice Location Address
First Line	:	2400 W 2ND AVE STE 4
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-1518
Country	:	US
Telephone Number	:	786-261-6250
Fax Number	:	786-345-5930

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	CARLOS BLANCO
Credential	:	MD
Telephone Number	:	305-796-9208

Provider Enumeration Date	:	08/13/2014
Last Update Date	:	09/15/2014

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Directions to “US REHABILITATION CENTER INC ” Practice Location

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