Healthcare Provider Details

I. General information

NPI: 1316620677
Provider Name (Legal Business Name): GKA REHAB GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2023
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2721 SW 137TH AVE STE 117
MIAMI FL
33175-6319
US

IV. Provider business mailing address

3911 NW 1ST ST
MIAMI FL
33126-5705
US

V. Phone/Fax

Practice location:
  • Phone: 786-908-2874
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GERARDO RAMIREZ
Title or Position: OWNER
Credential:
Phone: 786-908-2874