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General NPI Number Information
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NPI Number | 1497134829
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Entity Type | Organization
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Legal Business Name | PATIENT CARE AND REHABILITATION CENTER CORP
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Dates
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Enumeration Date | 05/19/2015
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Last Update Date | 05/19/2015
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Provider Practice Location Address
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Address Line | 2450 SW 137TH AVE STE 224
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City | MIAMI
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State | FL
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Zip | 33175-8802
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Country | US
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Telephone | 786-615-2030
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Fax | 786-615-2030
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Provider Business Mailing Address
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Address Line | 2450 SW 137TH AVE STE 224
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City | MIAMI
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State | FL
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Zip | 33175-8802
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Country | US
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Telephone | 786-615-2030
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Fax | 786-615-2030
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Authorized Official
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Title or Position | OWNER
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Name | SANDOR SUAREZ
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Credential |
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Telephone | 786-615-2030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | FL
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