Healthcare Provider Details

I. General information

NPI: 1902879679
Provider Name (Legal Business Name): MILLENNIUM REHAB CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 NW 42ND AVE
MIAMI FL
33126-5473
US

IV. Provider business mailing address

10 NW 42ND AVE
MIAMI FL
33126-5473
US

V. Phone/Fax

Practice location:
  • Phone: 305-446-2277
  • Fax: 305-446-1077
Mailing address:
  • Phone: 305-446-2277
  • Fax: 305-446-1077

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: HIRAN A SANCHEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-446-2277