| Organization Name: | MIAMI REHAB CENTER, INC |
| NPI Number: | 1073991568 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUIS FERNANDO ROA (RPT) |
| Mailing Address: | 11300 Nw 87th Ct Suite # 157 Hialeah Gardens |
| State: | FL US |
| Postal Code: | 330184586 |
| Phone Number: | 7867623915 |
| Fax Number: | 7867623916 |
| NPI Enumeration Date: | 05/15/2015 |
| NPI Last Update Date: | 05/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | PT22682 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |