Healthcare Provider Details

I. General information

NPI: 1821850405
Provider Name (Legal Business Name): KENDALL SOUTH REHAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4689 PONCE DE LEON BLVD STE 200
CORAL GABLES FL
33146-2133
US

IV. Provider business mailing address

4689 PONCE DE LEON BLVD STE 200
CORAL GABLES FL
33146-2133
US

V. Phone/Fax

Practice location:
  • Phone: 786-803-8025
  • Fax: 213-832-3211
Mailing address:
  • Phone: 786-803-8025
  • Fax: 213-832-3211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ILEANA N ARCE SARMIENTO
Title or Position: PRESIDENT
Credential:
Phone: 786-803-8025