MEDICARE: GABLES GATE HEALTH 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1952578650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GABLES GATE HEALTH CENTER, INC

Provider Business Mailing Address
First Line	:	7811 SW 24 ST
Second Line	:	SUITE 104
City	:	MIAMI
State	:	FL
Zip	:	33155-6540
Country	:	US
Telephone Number	:	305-266-3827
Fax Number	:	305-266-3828

Provider Business Practice Location Address
First Line	:	7811 SW 24 ST
Second Line	:	SUITE 104
City	:	MIAMI
State	:	FL
Zip	:	33155-6504
Country	:	US
Telephone Number	:	305-266-3827
Fax Number	:	305-266-3828

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JUAN J. RODRIGUEZ
Credential	:
Telephone Number	:	305-266-3827

Provider Enumeration Date	:	05/12/2008
Last Update Date	:	07/24/2014

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