MEDICARE: COMPLETE CARE AND 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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1578608840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE CARE AND REHABILITATION CENTER, INC

Provider Business Mailing Address
First Line	:	3970 W FLAGLER ST
Second Line	:	SUITE 203
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-1642
Country	:	US
Telephone Number	:	305-460-6984
Fax Number	:

Provider Business Practice Location Address
First Line	:	3970 W FLAGLER ST
Second Line	:	SUITE 203
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-1642
Country	:	US
Telephone Number	:	305-460-6984
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YOLEXI MARRERO
Credential	:
Telephone Number	:	305-460-6984

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	05/27/2011

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