Healthcare Provider Details
I. General information
NPI: 1306659958
Provider Name (Legal Business Name): REHAB CENTER AG INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/28/2025
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1250 SW 27TH AVE STE 506
MIAMI FL
33135-4751
US
IV. Provider business mailing address
1250 SW 27TH AVE STE 506
MIAMI FL
33135-4751
US
V. Phone/Fax
- Phone: 786-535-9278
- Fax: 786-536-5185
- Phone: 786-535-9278
- Fax: 786-536-5185
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RUBEN
OSNIEL
GARCIA MARTINEZ
Title or Position: OWNER
Credential:
Phone: 305-497-5347