Healthcare Provider Details

I. General information

NPI: 1598505182
Provider Name (Legal Business Name): MAS MEDICAL AND REHABILITATION CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2024
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8890 SW 24TH ST STE 206
MIAMI FL
33165-2060
US

IV. Provider business mailing address

8890 SW 24TH ST STE 206
MIAMI FL
33165-2060
US

V. Phone/Fax

Practice location:
  • Phone: 786-616-8184
  • Fax: 786-542-0918
Mailing address:
  • Phone: 786-616-8184
  • Fax: 786-542-0918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: SUZET CASANOVA
Title or Position: PRESIDENT
Credential:
Phone: 786-616-8184