Organization Name: | BAY VILLAGE REHAB CENTER |
NPI Number: | 1770856593 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GILBERTO FIGUEROA (PRESIDENT) |
Mailing Address: | 1440 J F Kennedy Cswy Ste 304 North Bay Village |
State: | FL US |
Postal Code: | 331414188 |
Phone Number: | 3057638007 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2012 |
NPI Last Update Date: | 02/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | HCC8888 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |