Healthcare Provider Details

I. General information

NPI: 1578517124
Provider Name (Legal Business Name): BLUE SKY REHABILITATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 02/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 NW 7TH ST
MIAMI FL
33125-3569
US

IV. Provider business mailing address

5143 SW 8TH ST
CORAL GABLES FL
33134-2442
US

V. Phone/Fax

Practice location:
  • Phone: 305-817-5656
  • Fax:
Mailing address:
  • Phone: 305-442-8514
  • Fax: 305-442-8561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIA CABRERA
Title or Position: PRESIDENT
Credential:
Phone: 305-442-8514