MEDICARE: ADI GROUP REHAB 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	170100000X	Ph.D. Medical Genetics

General Provider Information

NPI Number	:	1811085087
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADI GROUP REHAB INC

Provider Business Mailing Address
First Line	:	1111 KANE CONCOURSE
Second Line	:	SUITE 510
City	:	BAY HARBOR ISLANDS
State	:	FL
Zip	:	33154-2029
Country	:	US
Telephone Number	:	305-864-3991
Fax Number	:	305-864-3989

Provider Business Practice Location Address
First Line	:	1111 KANE CONCOURSE
Second Line	:	SUITE 510
City	:	BAY HARBOR ISLANDS
State	:	FL
Zip	:	33154-2029
Country	:	US
Telephone Number	:	305-864-3991
Fax Number	:	305-864-3989

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARMANDO CRUZ
Credential	:
Telephone Number	:	786-255-1975

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	08/22/2020

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