MEDICARE: R & P REHABILITATION CENTER

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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1144611229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R & P REHABILITATION CENTER

Provider Business Mailing Address
First Line	:	401 E LAS OLAS BLVD
Second Line	:	SUITE 130-545
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-2210
Country	:	US
Telephone Number	:	786-630-8692
Fax Number	:	305-504-2737

Provider Business Practice Location Address
First Line	:	401 E LAS OLAS BLVD
Second Line	:	SUITE 130-545
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-2210
Country	:	US
Telephone Number	:	786-630-8692
Fax Number	:	305-504-2737

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	LUIS FELIPE VERDECIA
Credential	:	M.D.
Telephone Number	:	786-630-8692

Provider Enumeration Date	:	02/11/2015
Last Update Date	:	02/20/2015

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