MEDICARE: REH OF DADE, 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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1699873919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REH OF DADE, INC

Provider Business Mailing Address
First Line	:	435 HIALEAH DR
Second Line	:	# 4
City	:	HIALEAH
State	:	FL
Zip	:	33010-5358
Country	:	US
Telephone Number	:	305-887-0857
Fax Number	:	305-887-0859

Provider Business Practice Location Address
First Line	:	435 HIALEAH DR
Second Line	:	# 4
City	:	HIALEAH
State	:	FL
Zip	:	33010-5358
Country	:	US
Telephone Number	:	305-887-0857
Fax Number	:	305-887-0859

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RUBEN J NUNEZ
Credential	:	MD
Telephone Number	:	305-887-0857

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/22/2020

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Directions to “REH OF DADE, INC ” Practice Location

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