Healthcare Provider Details

I. General information

NPI: 1952451635
Provider Name (Legal Business Name): ELITE HEALTH & REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6450 W 21ST CT SUITE 200
HIALEAH FL
33016-3946
US

IV. Provider business mailing address

6450 W 21ST CT SUITE 200
HIALEAH FL
33016-3946
US

V. Phone/Fax

Practice location:
  • Phone: 305-698-0806
  • Fax: 305-698-2325
Mailing address:
  • Phone: 305-698-0806
  • Fax: 305-698-2325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JORGE CONCEPCION
Title or Position: PRESIDENT
Credential:
Phone: 305-698-0806