Healthcare Provider Details

I. General information

NPI: 1851308985
Provider Name (Legal Business Name): GENERAL MEDICAL REHABILITATION CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 WESTWARD DR
MIAMI SPRINGS FL
33166-5260
US

IV. Provider business mailing address

232 WESTWARD DR
MIAMI SPRINGS FL
33166-5260
US

V. Phone/Fax

Practice location:
  • Phone: 305-882-0615
  • Fax: 305-882-0625
Mailing address:
  • Phone: 305-882-0615
  • Fax: 305-882-0625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME90687
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME 90910
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH 8848
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO 3245
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO 3228
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 3506
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT 11098
License Number StateFL
# 8
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA 42389
License Number StateFL

VIII. Authorized Official

Name: ODALIS NUNEZ
Title or Position: PRESIDENT OWNER
Credential:
Phone: 305-882-0615