| Mila Rehab Professional Center Inc | |
|
2500 W Flagler St Miami FL 33135-1423 | |
| (786) 569-3690 | |
| Not Available |
| Full Name | Mila Rehab Professional Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2500 W Flagler St, Miami, Florida |
| Authorized Official Name and Position | Xaren Y Lopez Lemus (PRESIDENT) |
| Authorized Official Contact | 7865693690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mila Rehab Professional Center Inc 2500 W Flagler St Miami FL 33135-1423 Ph: (786) 569-3690 | Mila Rehab Professional Center Inc 2500 W Flagler St Miami FL 33135-1423 Ph: (786) 569-3690 |
| NPI Number | 1285231191 |
|---|---|
| Provider Enumeration Date | 10/04/2020 |
| Last Update Date | 10/04/2020 |
| Certification Date | 10/04/2020 |
| Medicare PECOS PAC ID | 0840675419 |
|---|---|
| Medicare Enrollment ID | O20220917000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285231191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Luis Mario Molina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003116286 PECOS PAC ID: 0547655565 Enrollment ID: I20220309002115 |
| Provider Name | Robert R Mccarver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174595102 PECOS PAC ID: 9133026743 Enrollment ID: I20221005002063 |
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