Healthcare Provider Details

I. General information

NPI: 1760974927
Provider Name (Legal Business Name): BE REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2018
Last Update Date: 06/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1812 N CAPITOL ST NW UNIT 301
WASHINGTON DC
20002
US

IV. Provider business mailing address

1812 N CAPITOL ST NW UNIT 301
WASHINGTON DC
20002-1532
US

V. Phone/Fax

Practice location:
  • Phone: 305-790-4948
  • Fax:
Mailing address:
  • Phone: 305-790-4948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SEBASTIAN OQUENDO TORO
Title or Position: OWNER
Credential: DPT
Phone: 305-790-4948