Healthcare Provider Details

I. General information

NPI: 1184292021
Provider Name (Legal Business Name): NEW WORLD MEDICAL & REHAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2021
Last Update Date: 12/06/2021
Certification Date: 12/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13255 SW 137TH AVE STE 208
MIAMI FL
33186-5328
US

IV. Provider business mailing address

13255 SW 137TH AVE STE 208
MIAMI FL
33186-5328
US

V. Phone/Fax

Practice location:
  • Phone: 786-535-2600
  • Fax: 786-592-1075
Mailing address:
  • Phone: 786-535-2600
  • Fax: 786-592-1075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. SAILY REYES
Title or Position: PRESIDENT
Credential: OFFICE MANAGER
Phone: 786-612-6142