Healthcare Provider Details

I. General information

NPI: 1245262930
Provider Name (Legal Business Name): ASSOCIATES REHABILITATION SOUTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 08/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

456 WEST 51 PLACE
HIALEAH FL
33012-3833
US

IV. Provider business mailing address

456 WEST 51 PLACE
HIALEAH FL
33012-3833
US

V. Phone/Fax

Practice location:
  • Phone: 305-364-0337
  • Fax: 305-364-0338
Mailing address:
  • Phone: 305-364-0337
  • Fax: 305-364-0338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: MR. JUAN ALEMAN
Title or Position: VICE PRESIDENT
Credential: PTA
Phone: 305-964-0337