MEDICARE: ESPINOSA REHABILITATION SERVICE, 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	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1679526545
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESPINOSA REHABILITATION SERVICE, INC.

Provider Business Mailing Address
First Line	:	8325 W 24TH AVE
Second Line	:	SUITE 9
City	:	HIALEAH
State	:	FL
Zip	:	33016-1880
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8325 W 24TH AVE
Second Line	:	SUITE 9
City	:	HIALEAH
State	:	FL
Zip	:	33016-1880
Country	:	US
Telephone Number	:	305-824-9924
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIA RAMOS
Credential	:
Telephone Number	:	305-824-9924

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	08/22/2020

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