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NPI Code Detail

MEDICARE: CORAL GABLES REHABILITATION CENTER

MEDICARE: CORAL GABLES 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
1261QR0400XRehabilitation Clinic/CenterMM25354FL

General Provider Information

NPI Number : 1871802256
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORAL GABLES REHABILITATION CENTER
Provider Business Mailing Address
First Line : 4475 SW 8TH ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-2562
Country : US
Telephone Number : 786-360-4065
Fax Number : 786-360-4080
Provider Business Practice Location Address
First Line : 4475 SW 8TH ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-2562
Country : US
Telephone Number : 786-360-4065
Fax Number : 786-360-4080
Authorized Official
Title or Position : PRESIDENT
Name : JOEL ALFREDO QUINTANA
Credential : LMT
Telephone Number : 786-360-4065
Provider Enumeration Date : 10/01/2010
Last Update Date : 10/01/2010

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Directions to “CORAL GABLES REHABILITATION CENTER ” Practice Location

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