Healthcare Provider Details

I. General information

NPI: 1003137092
Provider Name (Legal Business Name): NEW LIFE REHAB SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2010
Last Update Date: 06/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6955 NW 77TH AVE STE 401
MIAMI FL
33166-2844
US

IV. Provider business mailing address

6955 NW 77TH AVE STE 401
MIAMI FL
33166-2844
US

V. Phone/Fax

Practice location:
  • Phone: 305-805-8388
  • Fax: 305-805-8027
Mailing address:
  • Phone: 305-805-8388
  • Fax: 305-805-8027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberMA 59149
License Number StateFL

VIII. Authorized Official

Name: MR. PEDRO L SANCHEZ
Title or Position: OWNER
Credential: LMT
Phone: 305-805-8388