Healthcare Provider Details

I. General information

NPI: 1386195923
Provider Name (Legal Business Name): AMERICAN REHABILITATION MEDICAL CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2016
Last Update Date: 08/30/2023
Certification Date: 08/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8080 W FLAGLER ST STE 2A
MIAMI FL
33144-2100
US

IV. Provider business mailing address

8080 W FLAGLER ST STE 2A
MIAMI FL
33144-2100
US

V. Phone/Fax

Practice location:
  • Phone: 786-615-2640
  • Fax: 786-615-2246
Mailing address:
  • Phone: 786-615-2640
  • Fax: 786-615-2246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License NumberHCC10677
License Number StateFL

VIII. Authorized Official

Name: MABEL GUZMAN
Title or Position: OWNER
Credential:
Phone: 786-615-2640