| Ortho And Rehabilitation Medical Center, Inc | |
|
7171 Sw 24th St Ste 316 Miami FL 33155-1692 | |
| (786) 762-2415 | |
| (786) 762-2418 |
| Full Name | Ortho And Rehabilitation Medical Center, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 7171 Sw 24th St Ste 316, Miami, Florida |
| Authorized Official Name and Position | Yanely Marin (PRESIDENT OWNER) |
| Authorized Official Contact | 7867622415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ortho And Rehabilitation Medical Center, Inc 7171 Sw 24th St Ste 316 Miami FL 33155-1692 Ph: (786) 762-2415 | Ortho And Rehabilitation Medical Center, Inc 7171 Sw 24th St Ste 316 Miami FL 33155-1692 Ph: (786) 762-2415 |
| NPI Number | 1669402012 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 08/18/2023 |
| Certification Date | 08/18/2023 |
| Medicare PECOS PAC ID | 3274533872 |
|---|---|
| Medicare Enrollment ID | O20070104000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669402012 | NPI | - | NPPES |
| 110787500 | Medicaid | FL | |
| HCC12048 | Other | FL | AHCA |
| Provider Name | Frank De Pena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073551958 PECOS PAC ID: 4385688282 Enrollment ID: I20050614000054 |
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