Healthcare Provider Details

I. General information

NPI: 1679746168
Provider Name (Legal Business Name): CORA REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2008
Last Update Date: 04/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 SW 137TH AVE SUITE 116
MIAMI FL
33186-1411
US

IV. Provider business mailing address

9000 SW 137TH AVE SUITE 116
MIAMI FL
33186-1411
US

V. Phone/Fax

Practice location:
  • Phone: 305-382-9991
  • Fax: 305-382-9550
Mailing address:
  • Phone: 305-382-9991
  • Fax: 305-382-9550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number23960
License Number StateFL

VIII. Authorized Official

Name: DR. JUAN CARLOS SAAVEDRA
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 305-382-9991