Healthcare Provider Details

I. General information

NPI: 1033341987
Provider Name (Legal Business Name): R & R REHAB CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2009
Last Update Date: 06/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11300 NW 87TH CT SUITE 149
HIALEAH GARDENS FL
33018-4586
US

IV. Provider business mailing address

11300 NW 87TH CT SUITE 149
HIALEAH GARDENS FL
33018-4586
US

V. Phone/Fax

Practice location:
  • Phone: 786-518-3452
  • Fax: 786-518-3453
Mailing address:
  • Phone: 786-518-3452
  • Fax: 786-518-3453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ROLANDO LOPEZ
Title or Position: PRESIDENT
Credential:
Phone: 786-518-3452