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NPI Code Detail

MEDICARE: NEW VISION REHAB. INC

MEDICARE: NEW VISION 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
1103K00000XBehavior Analyst

Other Identifiers

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

General Provider Information

NPI Number : 1861168163
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW VISION REHAB. INC
Provider Business Mailing Address
First Line : 1022 E 8TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-3755
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1022 E 8TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-3755
Country : US
Telephone Number : 786-615-7829
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MARTHA ALVAREZ
Credential :
Telephone Number : 786-615-7829
Provider Enumeration Date : 08/18/2021
Last Update Date : 08/18/2021

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