Healthcare Provider Details

I. General information

NPI: 1437802196
Provider Name (Legal Business Name): D & D REHAB CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2022
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3412 W 84TH ST UNIT E-106
HIALEAH FL
33018-4918
US

IV. Provider business mailing address

3412 W 84TH ST UNIT E-106
HIALEAH FL
33018-4918
US

V. Phone/Fax

Practice location:
  • Phone: 305-827-7344
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: LUIS A. YANCE
Title or Position: DIRECTOR
Credential:
Phone: 305-827-7344