Healthcare Provider Details

I. General information

NPI: 1982922969
Provider Name (Legal Business Name): JOYFUL REBAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2010
Last Update Date: 03/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12001 SW 128TH CT 201
MIAMI FL
33186-4664
US

IV. Provider business mailing address

12001 SW 128TH CT 201
MIAMI FL
33186-4664
US

V. Phone/Fax

Practice location:
  • Phone: 786-344-8916
  • Fax:
Mailing address:
  • Phone: 786-344-8916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberHCC 8148
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number8148
License Number StateFL

VIII. Authorized Official

Name: BELKIS A ALVAREZ
Title or Position: PRESIDENT
Credential:
Phone: 786-344-8916