Healthcare Provider Details

I. General information

NPI: 1669402012
Provider Name (Legal Business Name): ORTHO AND REHABILITATION MEDICAL CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 08/18/2023
Certification Date: 08/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7171 SW 24TH ST STE 316
MIAMI FL
33155-1692
US

IV. Provider business mailing address

7171 SW 24TH ST STE 316
MIAMI FL
33155-1692
US

V. Phone/Fax

Practice location:
  • Phone: 786-762-2415
  • Fax: 786-762-2418
Mailing address:
  • Phone: 786-762-2415
  • Fax: 786-762-2418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: YANELY MARIN
Title or Position: PRESIDENT OWNER
Credential:
Phone: 786-762-2415