| Organization Name: | ADULT AND PEDIATRIC REHABILITATION |
| NPI Number: | 1114274784 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SERGIO IVAN MACIAS (OWNER) |
| Mailing Address: | 1233 N Main Street 10 San Luis |
| State: | AZ US |
| Postal Code: | 85349 |
| Phone Number: | 9287226050 |
| Fax Number: | 9287226094 |
| NPI Enumeration Date: | 08/13/2012 |
| NPI Last Update Date: | 10/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | C001071 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |