Healthcare Provider Details

I. General information

NPI: 1295026623
Provider Name (Legal Business Name): RELAXING REHAB CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2011
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 NW 36TH ST STE 102
MIAMI FL
33142-5582
US

IV. Provider business mailing address

1313 NW 36TH ST STE 102
MIAMI FL
33142-5582
US

V. Phone/Fax

Practice location:
  • Phone: 786-353-2130
  • Fax: 786-471-3535
Mailing address:
  • Phone: 786-353-2130
  • Fax: 786-536-7825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GLADYS PANTOJA BELLO
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 786-353-2130