Healthcare Provider Details

I. General information

NPI: 1811299282
Provider Name (Legal Business Name): D & P REHABILITATION CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2010
Last Update Date: 11/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7171 CORAL WAY SUITE 403
MIAMI FL
33155-1449
US

IV. Provider business mailing address

7171 CORAL WAY SUITE 403
MIAMI FL
33155-1449
US

V. Phone/Fax

Practice location:
  • Phone: 305-261-7101
  • Fax: 305-261-7179
Mailing address:
  • Phone: 305-261-7101
  • Fax: 305-261-7179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173C00000X
TaxonomyReflexologist
License NumberMA60706
License Number StateFL

VIII. Authorized Official

Name: HIDELGARDE SILVA CAMBARA
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 305-261-7101