MEDICARE: GENERAL MEDICAL 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	ME90687	FL
2	208D00000X	General Practice Physician	ME 90910	FL
3	111N00000X	Chiropractor	CH 8848	FL
4	213E00000X	Podiatrist	PO 3245	FL
5	213E00000X	Podiatrist	PO 3228	FL
6	225100000X	Physical Therapist	PT 3506	FL
7	225X00000X	Occupational Therapist	OT 11098	FL
8	225700000X	Massage Therapist	MA 42389	FL

General Provider Information

NPI Number	:	1851308985
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENERAL MEDICAL REHABILITATION CENTER INC

Provider Business Mailing Address
First Line	:	232 WESTWARD DR
Second Line	:
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-5260
Country	:	US
Telephone Number	:	305-882-0615
Fax Number	:	305-882-0625

Provider Business Practice Location Address
First Line	:	232 WESTWARD DR
Second Line	:
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-5260
Country	:	US
Telephone Number	:	305-882-0615
Fax Number	:	305-882-0625

Authorized Official
Title or Position	:	PRESIDENT OWNER
Name	:	ODALIS NUNEZ
Credential	:
Telephone Number	:	305-882-0615

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	09/11/2025

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