| Organization Name: | PULMONARY PROVIDERS REHAB INC. |
| NPI Number: | 1790011716 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAFAEL JORGE MENENDEZ (DIRECTOR) |
| Mailing Address: | 1352 Sw 75th Ave Miami |
| State: | FL US |
| Postal Code: | 331444422 |
| Phone Number: | 3052664474 |
| Fax Number: | 3052664474 |
| NPI Enumeration Date: | 10/26/2009 |
| NPI Last Update Date: | 11/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 293D00000X |
| License Number: | RT5541 AND TN7986 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Laboratories |
| Taxonomy Classification: | Physiological Laboratory |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |