MEDICARE: INJURIES REHAB 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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1861430316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INJURIES REHAB CENTER INC

Provider Business Mailing Address
First Line	:	7801 CORAL WAY
Second Line	:	132
City	:	MIAMI
State	:	FL
Zip	:	33155-6538
Country	:	US
Telephone Number	:	305-267-5008
Fax Number	:	305-267-5009

Provider Business Practice Location Address
First Line	:	7801 CORAL WAY
Second Line	:	132
City	:	MIAMI
State	:	FL
Zip	:	33155-6538
Country	:	US
Telephone Number	:	305-267-5008
Fax Number	:	305-267-5009

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CATALINA I FUENTES
Credential	:
Telephone Number	:	305-267-5008

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	08/22/2020

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