Healthcare Provider Details

I. General information

NPI: 1285231191
Provider Name (Legal Business Name): MILA REHAB PROFESSIONAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2020
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 PALM AVE STE AA
HIALEAH FL
33012-4424
US

IV. Provider business mailing address

4201 PALM AVE STE AA
HIALEAH FL
33012-4424
US

V. Phone/Fax

Practice location:
  • Phone: 786-663-2822
  • Fax:
Mailing address:
  • Phone: 786-663-2822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALEXANDRA CODECIDO
Title or Position: PRESIDENT
Credential:
Phone: 786-663-2822