Healthcare Provider Details

I. General information

NPI: 1831220516
Provider Name (Legal Business Name): MEDICAL REHAB AND WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 IVES DAIRY RD
MIAMI FL
33179-2450
US

IV. Provider business mailing address

850 IVES DAIRY RD
MIAMI FL
33179-2450
US

V. Phone/Fax

Practice location:
  • Phone: 305-770-2221
  • Fax: 305-770-3969
Mailing address:
  • Phone: 305-770-2221
  • Fax: 305-770-3969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberHCC5139
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberHCC5139
License Number StateFL

VIII. Authorized Official

Name: MARIO SABORIO
Title or Position: PRES
Credential:
Phone: 305-770-2221