Healthcare Provider Details

I. General information

NPI: 1427330075
Provider Name (Legal Business Name): WESTLAND REHABILITATION CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2011
Last Update Date: 09/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3750 W 16TH AVE SUITE 240-AU
HIALEAH FL
33012-4654
US

IV. Provider business mailing address

3750 W 16TH AVE SUITE 240-AU
HIALEAH FL
33012-4654
US

V. Phone/Fax

Practice location:
  • Phone: 305-797-2933
  • Fax:
Mailing address:
  • Phone: 305-797-2933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173C00000X
TaxonomyReflexologist
License NumberMA64645
License Number StateFL

VIII. Authorized Official

Name: OMAR ROIG
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 305-797-2933