MEDICARE: NATURAL 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	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1740472075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATURAL REHABILITATION CENTER, INC

Provider Business Mailing Address
First Line	:	10550 NW 77 CT SUITE 223
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016
Country	:	US
Telephone Number	:	305-827-8919
Fax Number	:	305-827-8918

Provider Business Practice Location Address
First Line	:	10550 NW 77TH CT STE 223
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-2071
Country	:	US
Telephone Number	:	305-827-8919
Fax Number	:	305-827-8918

Authorized Official
Title or Position	:	OWNER
Name	:	FELIX ROLANDO CALLE
Credential	:
Telephone Number	:	305-776-1430

Provider Enumeration Date	:	08/10/2007
Last Update Date	:	08/21/2007

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