MEDICARE: HEALTH THERAPY CENTER CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency	HCC9282	FL

General Provider Information

NPI Number	:	1093089054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH THERAPY CENTER CORP

Provider Business Mailing Address
First Line	:	2955 SW 8TH ST
Second Line	:	APT.202 A
City	:	MIAMI
State	:	FL
Zip	:	33135-2862
Country	:	US
Telephone Number	:	305-698-7128
Fax Number	:

Provider Business Practice Location Address
First Line	:	2955 SW 8TH ST
Second Line	:	APT.202 A
City	:	MIAMI
State	:	FL
Zip	:	33135-2862
Country	:	US
Telephone Number	:	305-698-7128
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YANIO MONTES DE OCA
Credential	:
Telephone Number	:	786-449-2014

Provider Enumeration Date	:	03/08/2012
Last Update Date	:	03/08/2012

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Directions to “HEALTH THERAPY CENTER CORP ” Practice Location

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