Healthcare Provider Details

I. General information

NPI: 1093009664
Provider Name (Legal Business Name): ROIG ORTHO & REHAB CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2011
Last Update Date: 06/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

972 SW 82ND AVE
MIAMI FL
33144-4271
US

IV. Provider business mailing address

972 SW 82ND AVE
MIAMI FL
33144-4271
US

V. Phone/Fax

Practice location:
  • Phone: 305-267-6154
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: CARLOS ROIG
Title or Position: DIRECTOR
Credential: MD
Phone: 305-267-6154