=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336411776
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A A REHAB. CENTER INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/01/2012
-----------------------------------------------------
Last Update Date | 02/25/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8660 W FLAGLER ST STE 111
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33144-2035
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-229-4053
-----------------------------------------------------
Fax | 305-229-4054
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8660 W FLAGLER ST #111
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33144
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-229-4053
-----------------------------------------------------
Fax | 305-229-4054
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ALFREDO ROMERO
-----------------------------------------------------
Credential | MA
-----------------------------------------------------
Telephone | 305-229-4053
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QH0100X
-----------------------------------------------------
Taxonomy Name | Health Service Clinic/Center
-----------------------------------------------------
License Number | HCC9283
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------