Healthcare Provider Details

I. General information

NPI: 1699723114
Provider Name (Legal Business Name): ACE MEDICIAL & REHAB CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 07/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3990 W FLAGER ST SUITE 101/102
MIAMI FL
33134
US

IV. Provider business mailing address

3990 W FLAGER ST SUITE 101-102
MIAMI FL
33134
US

V. Phone/Fax

Practice location:
  • Phone: 305-392-1143
  • Fax: 786-332-2602
Mailing address:
  • Phone: 786-239-0218
  • Fax: 786-332-2602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License NumberHCC4544
License Number StateFL

VIII. Authorized Official

Name: MRS. YANIRMA TOLEDO
Title or Position: CEO
Credential:
Phone: 786-239-0218