MEDICARE: INTEGRATED REHABILITATION CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	225X00000X	Occupational Therapist
3	235Z00000X	Speech-Language Pathologist
4	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720036478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED REHABILITATION CENTER

Provider Business Mailing Address
First Line	:	5931 NW 173RD DR
Second Line	:	UNIT 10
City	:	MIAMI
State	:	FL
Zip	:	33015-5106
Country	:	US
Telephone Number	:	305-826-7884
Fax Number	:	305-826-1545

Provider Business Practice Location Address
First Line	:	5931 NW 173RD DR
Second Line	:	UNIT 10
City	:	MIAMI
State	:	FL
Zip	:	33015-5106
Country	:	US
Telephone Number	:	305-826-7884
Fax Number	:	305-826-1545

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ANA CECILIA ESPINOSA
Credential	:	OTR/BCBA
Telephone Number	:	305-826-7884

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	11/23/2020

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Directions to “INTEGRATED REHABILITATION CENTER ” Practice Location

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