Healthcare Provider Details

I. General information

NPI: 1770419327
Provider Name (Legal Business Name): FAMILY REHAB,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 SW 27TH AVE
MIAMI FL
33135-2971
US

IV. Provider business mailing address

510 SW 27TH AVE
MIAMI FL
33135-2971
US

V. Phone/Fax

Practice location:
  • Phone: 305-903-7587
  • Fax:
Mailing address:
  • Phone: 305-903-7587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: INTI FERNANDEZ
Title or Position: OWNER
Credential:
Phone: 305-222-9154