MEDICARE: JM REHAB & THERAPY 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	HCC 9207	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	FILE 9526	OTHER	FL	AHCA HCC UNIT

General Provider Information

NPI Number	:	1992091516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JM REHAB & THERAPY INC

Provider Business Mailing Address
First Line	:	15688 SW 72ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-1923
Country	:	US
Telephone Number	:	305-458-4090
Fax Number	:	305-675-2668

Provider Business Practice Location Address
First Line	:	15688 SW 72ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-1923
Country	:	US
Telephone Number	:	305-458-4090
Fax Number	:	305-675-2668

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JORGE IGLESIAS
Credential	:
Telephone Number	:	305-458-4090

Provider Enumeration Date	:	06/22/2011
Last Update Date	:	06/22/2011

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Directions to “JM REHAB & THERAPY INC ” Practice Location

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