Healthcare Provider Details

I. General information

NPI: 1780822700
Provider Name (Legal Business Name): WORLDWIDE HEALTH & REHAB CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2009
Last Update Date: 01/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7878 NW 52ND ST
DORAL FL
33166-4742
US

IV. Provider business mailing address

7878 NW 52ND ST
DORAL FL
33166-4742
US

V. Phone/Fax

Practice location:
  • Phone: 786-331-7444
  • Fax:
Mailing address:
  • Phone: 786-331-7444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: LUIS ALONSO
Title or Position: PRESIDENT
Credential: OT
Phone: 786-331-7444