| Aba Rehabilitation Center, Inc | |
|
3850 Sw 87th Ave Ste 308 Miami FL 33165-5474 | |
| (305) 456-1766 | |
| Not Available |
| Full Name | Aba Rehabilitation Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3850 Sw 87th Ave Ste 308, Miami, Florida |
| Authorized Official Name and Position | Jenry Urdanivia (OWNER) |
| Authorized Official Contact | 3054561766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Rehabilitation Center, Inc 3850 Sw 87th Ave Ste 308 Miami FL 33165-5474 Ph: (305) 456-1766 | Aba Rehabilitation Center, Inc 3850 Sw 87th Ave Ste 308 Miami FL 33165-5474 Ph: (305) 456-1766 |
| NPI Number | 1770051047 |
|---|---|
| Provider Enumeration Date | 11/05/2018 |
| Last Update Date | 06/20/2019 |
| Medicare PECOS PAC ID | 5395071690 |
|---|---|
| Medicare Enrollment ID | O20190724002345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770051047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Patricia Freire |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740231075 PECOS PAC ID: 5193621845 Enrollment ID: I20031211000891 |
| Provider Name | Gerard F Acloque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154687507 PECOS PAC ID: 9537454996 Enrollment ID: I20160824000791 |
| Provider Name | Yamel Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225585730 PECOS PAC ID: 7315221512 Enrollment ID: I20170308000388 |
| Provider Name | Imara A Paramo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992079123 PECOS PAC ID: 9638424880 Enrollment ID: I20180612002720 |
| Provider Name | Rick G Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053808113 PECOS PAC ID: 5799174934 Enrollment ID: I20220407000191 |
| Provider Name | Yaisel Barrero Mollinea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497431712 PECOS PAC ID: 6406217561 Enrollment ID: I20230804003238 |
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