MEDICARE: TRIAL REHAB GROUP CORPORATION

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	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1902163231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIAL REHAB GROUP CORPORATION

Provider Business Mailing Address
First Line	:	1830 NW 7 STREET SUITE 229
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125
Country	:	US
Telephone Number	:	786-313-3508
Fax Number	:

Provider Business Practice Location Address
First Line	:	1830 NW 7TH ST STE 229
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-3562
Country	:	US
Telephone Number	:	786-313-3508
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALBERTO SUAREZ SR.
Credential	:
Telephone Number	:	305-313-3508

Provider Enumeration Date	:	04/11/2012
Last Update Date	:	04/11/2012

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Directions to “TRIAL REHAB GROUP CORPORATION ” Practice Location

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