MEDICARE: CT REHABILITATION CENTER 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
1	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number	:	1528015112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CT REHABILITATION CENTER INC

Provider Business Mailing Address
First Line	:	3930 NW 167TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33054-6240
Country	:	US
Telephone Number	:	305-624-0320
Fax Number	:	305-624-0860

Provider Business Practice Location Address
First Line	:	3930 NW 167TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33054-6240
Country	:	US
Telephone Number	:	305-624-0320
Fax Number	:	305-624-0860

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CARMEN C TORRES
Credential	:
Telephone Number	:	305-624-0320

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	01/28/2008

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