Healthcare Provider Details

I. General information

NPI: 1902102908
Provider Name (Legal Business Name): CLINICS REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2011
Last Update Date: 02/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5870 SW 8TH ST STE 2
WEST MIAMI FL
33144-5052
US

IV. Provider business mailing address

5870 SW 8TH ST STE 2
WEST MIAMI FL
33144-5052
US

V. Phone/Fax

Practice location:
  • Phone: 305-265-2279
  • Fax: 305-265-2278
Mailing address:
  • Phone: 305-265-2279
  • Fax: 305-265-2278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberHCC8896
License Number StateFL

VIII. Authorized Official

Name: FELIX GARCIA
Title or Position: PRESIDENT
Credential:
Phone: 305-265-2279