Organization Name: | ASSOCIATES REHAB SOUTH LLC |
NPI Number: | 1003975988 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OTTO J VALDES (MANAGING MEMBER) |
Mailing Address: | 5190 Nw 167th St Suite 302 Miami Gardens |
State: | FL US |
Postal Code: | 330146328 |
Phone Number: | 3056212116 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0401X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Taxonomy Definition: |