Healthcare Provider Details

I. General information

NPI: 1225073174
Provider Name (Legal Business Name): MC REHABILITATION SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 11/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 SW 8TH ST SUITE 111/113
CORAL GABLES FL
33134-2300
US

IV. Provider business mailing address

5200 SW 8TH ST SUITE 111/113
CORAL GABLES FL
33134-2300
US

V. Phone/Fax

Practice location:
  • Phone: 305-476-1213
  • Fax: 305-476-1464
Mailing address:
  • Phone: 305-476-1213
  • Fax: 305-476-1464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License NumberOT8108
License Number StateFL

VIII. Authorized Official

Name: MARIA D RODRIGUEZ
Title or Position: PRESIDENT
Credential: OT
Phone: 305-343-6835