| Glg Rehabilitation Center,inc. | |
|
7171 Coral Way Ste 100-505 Miami FL 33155-1449 | |
| (305) 640-5560 | |
| (305) 640-5294 |
| Full Name | Glg Rehabilitation Center,inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7171 Coral Way Ste 100-505, Miami, Florida |
| Authorized Official Name and Position | Leimis Rodriguez Avila (OWNER) |
| Authorized Official Contact | 3056405560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glg Rehabilitation Center,inc. 7171 Coral Way Ste 100-505 Miami FL 33155-1449 Ph: (305) 640-5560 | Glg Rehabilitation Center,inc. 7171 Coral Way Ste 100-505 Miami FL 33155-1449 Ph: (305) 640-5560 |
| NPI Number | 1134658149 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 03/22/2021 |
| Certification Date | 03/22/2021 |
| Medicare PECOS PAC ID | 7810309077 |
|---|---|
| Medicare Enrollment ID | O20201211000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134658149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Francisco C Gonzalez Abreu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225190432 PECOS PAC ID: 5294831459 Enrollment ID: I20070503000649 |
| Provider Name | Manuel Alberto Hidalgo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225026347 PECOS PAC ID: 5698960771 Enrollment ID: I20101208000515 |
| Provider Name | Ernesto Arteaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144761008 PECOS PAC ID: 9830466325 Enrollment ID: I20170605002552 |
| Provider Name | Zaide Laurido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710432315 PECOS PAC ID: 8921375395 Enrollment ID: I20170606003069 |
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