Organization · NPI-2

369 Medical Rehab Center INC

Physical Medicine & Rehabilitation · Miami, FL

NPI number1114790383
StatusActive
Last updated in NPPESNov 21, 2023

Details

NPI
1114790383
Entity type
Organization (NPI-2)
Legal business name
369 Medical Rehab Center INC
Organization subpart
No
Enumeration date
Oct 31, 2023
Certification date
Nov 21, 2023
Last updated
Nov 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation––Yes

Practice location

951 Sw 122nd Ave
Miami, FL 33184-2406

Phone 305-400-8299 · Fax 305-400-8551

Mailing address

951 Sw 122nd Ave
Miami, FL 33184-2406

Phone 305-400-8299 · Fax 305-400-8551

Authorized official

Robiel Rodriguez
Authorized Official
9143148479

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