MEDICARE: CLINICS REHABILITATION CENTER

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	261Q00000X	Clinic/Center	MM26458	FL

General Provider Information

NPI Number	:	1790058303
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLINICS REHABILITATION CENTER

Provider Business Mailing Address
First Line	:	6355 SW 8TH ST
Second Line	:	SUITE 401-E
City	:	WEST MIAMI
State	:	FL
Zip	:	33144-4858
Country	:	US
Telephone Number	:	305-265-2279
Fax Number	:	305-265-2278

Provider Business Practice Location Address
First Line	:	6355 SW 8TH ST
Second Line	:	SUITE 401-E
City	:	WEST MIAMI
State	:	FL
Zip	:	33144-4858
Country	:	US
Telephone Number	:	305-265-2279
Fax Number	:	305-265-2278

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. FELIX D GARCIA
Credential	:	MA
Telephone Number	:	305-265-2279

Provider Enumeration Date	:	02/13/2012
Last Update Date	:	02/13/2012

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