Healthcare Provider Details

I. General information

NPI: 1083113229
Provider Name (Legal Business Name): SYSTEMS & STRUCTURE REHAB CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2018
Last Update Date: 02/16/2022
Certification Date: 02/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 SW 87TH AVE STE 10
MIAMI FL
33174-3245
US

IV. Provider business mailing address

890 SW 87TH AVE STE 10
MIAMI FL
33174-3245
US

V. Phone/Fax

Practice location:
  • Phone: 305-342-2481
  • Fax: 800-603-8864
Mailing address:
  • Phone: 305-342-2481
  • Fax: 800-603-8864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM3000X
TaxonomyMedically Fragile Infants and Children Day Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALIETTE NEYRA
Title or Position: PRESIDENT
Credential:
Phone: 305-342-2481