Healthcare Provider Details

I. General information

NPI: 1679526545
Provider Name (Legal Business Name): ESPINOSA REHABILITATION SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8325 W 24TH AVE SUITE 9
HIALEAH FL
33016-1880
US

IV. Provider business mailing address

8325 W 24TH AVE SUITE 9
HIALEAH FL
33016-1880
US

V. Phone/Fax

Practice location:
  • Phone: 305-824-9924
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIA RAMOS
Title or Position: PRESIDENT
Credential:
Phone: 305-824-9924