Healthcare Provider Details
I. General information
NPI: 1801263645
Provider Name (Legal Business Name): RBM HEALTHCARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/27/2015
Last Update Date: 08/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3750 W 16TH AVE STE 142
HIALEAH FL
33012-4684
US
IV. Provider business mailing address
3750 W 16TH AVE STE 142
HIALEAH FL
33012-4684
US
V. Phone/Fax
- Phone: 786-239-7345
- Fax:
- Phone: 786-239-7345
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
REBECA
BERRA
Title or Position: PRESIDENT
Credential:
Phone: 786-239-7345