MEDICARE: THE FLORIDA REHABILITATION 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	261QR0400X	Rehabilitation Clinic/Center	5629408	FL

General Provider Information

NPI Number	:	1891980942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE FLORIDA REHABILITATION CENTER, INC

Provider Business Mailing Address
First Line	:	1850 SW 8TH ST STE 312
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-3435
Country	:	US
Telephone Number	:	786-718-8433
Fax Number	:

Provider Business Practice Location Address
First Line	:	1850 SW 8TH ST STE 312
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-3435
Country	:	US
Telephone Number	:	786-718-8433
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	HECTOR BARRIOS
Credential	:
Telephone Number	:	786-718-8433

Provider Enumeration Date	:	09/12/2007
Last Update Date	:	09/12/2007

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