Healthcare Provider Details

I. General information

NPI: 1891183356
Provider Name (Legal Business Name): JNJ MEDICAL REHAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2015
Last Update Date: 01/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

943 SW 122ND AVE
MIAMI FL
33184-2406
US

IV. Provider business mailing address

943 SW 122ND AVE
MIAMI FL
33184-2406
US

V. Phone/Fax

Practice location:
  • Phone: 786-360-6151
  • Fax: 786-360-6154
Mailing address:
  • Phone: 786-360-6151
  • Fax: 786-360-6154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBIEL RODRIGUEZ
Title or Position: OWNER
Credential:
Phone: 786-360-6151