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General NPI Number Information
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NPI Number | 1841063187
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Entity Type | Organization
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Legal Business Name | LIAN MEDICAL AND REHAB CENTER CORP
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 7235 CORAL WAY STE 211
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City | MIAMI
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State | FL
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Zip | 33155-1452
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Country | US
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Telephone | 786-838-2685
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Fax |
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Provider Business Mailing Address
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Address Line | 7235 CORAL WAY STE 211
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City | MIAMI
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State | FL
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Zip | 33155-1452
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Country | US
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Telephone | 786-558-4204
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ROYNEL MATOS
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Credential |
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Telephone | 786-838-2685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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