NPI Code Details Logo

NPI 1649780057

NPI 1649780057 : AR GLOBAL REHAB CENTER : MIAMI LAKES, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1649780057
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AR GLOBAL REHAB CENTER 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/11/2017
-----------------------------------------------------
    Last Update Date     |    10/19/2017
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    14004 NW 82ND AVE 
-----------------------------------------------------
    City                 |    MIAMI LAKES
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33016-1547
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    786-502-4146
-----------------------------------------------------
    Fax                  |    786-502-4146
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    14004 NW 82ND AVE 
-----------------------------------------------------
    City                 |    MIAMI LAKES
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33016-1547
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    786-502-4146
-----------------------------------------------------
    Fax                  |    786-502-4146
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     RAUL H DIAZ 
-----------------------------------------------------
    Credential           |    PT
-----------------------------------------------------
    Telephone            |    954-830-7695
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QP2000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapy Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.