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NPI Code Detail

MEDICARE: JMR REHABILITATION INC

MEDICARE: JMR REHABILITATION INC
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
1261QP2000XPhysical Therapy Clinic/Center583460-2FL

General Provider Information

NPI Number : 1194749671
Entity Type Code : Organization
Provider Name (Legal Business Name) : JMR REHABILITATION INC
Provider Business Mailing Address
First Line : 755 E 8TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4613
Country : US
Telephone Number : 305-888-5730
Fax Number :
Provider Business Practice Location Address
First Line : 755 E 8TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4613
Country : US
Telephone Number : 305-888-5730
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ORESTES HERNANDEZ
Credential :
Telephone Number : 305-888-5730
Provider Enumeration Date : 07/27/2006
Last Update Date : 08/22/2020

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