Healthcare Provider Details

I. General information

NPI: 1437799236
Provider Name (Legal Business Name): R & R THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2020
Last Update Date: 01/09/2020
Certification Date: 01/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2564 W 72ND PL
HIALEAH FL
33016-6507
US

IV. Provider business mailing address

2564 W 72ND PL
HIALEAH FL
33016-6507
US

V. Phone/Fax

Practice location:
  • Phone: 786-334-3125
  • Fax:
Mailing address:
  • Phone: 786-334-3125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RADMEY RIOS
Title or Position: OWNER
Credential: OTR
Phone: 786-334-3125