Organization Name: | MANZUR REHABILITATION CENTER INC |
NPI Number: | 1093006025 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MANUEL ROMERO (PRESIDENT) |
Mailing Address: | 1350 Sw 57th Ave Suite 105 West Miami |
State: | FL US |
Postal Code: | 331445775 |
Phone Number: | 3052653267 |
Fax Number: | 3052653267 |
NPI Enumeration Date: | 04/25/2011 |
NPI Last Update Date: | 04/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | HCC 8738 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |