Healthcare Provider Details

I. General information

NPI: 1720938954
Provider Name (Legal Business Name): CENTRO DE REHABILITACION NUEVA VIDA CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 W 49TH ST STE 605
HIALEAH FL
33012-2962
US

IV. Provider business mailing address

1840 W 49TH ST STE 605
HIALEAH FL
33012-2962
US

V. Phone/Fax

Practice location:
  • Phone: 786-294-0453
  • Fax: 786-294-0243
Mailing address:
  • Phone: 786-294-0453
  • Fax: 786-294-0243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: BARBARITA GARCIA
Title or Position: CEO / PRESIDENT
Credential:
Phone: 786-294-0453