| Es Rehab Professional Center, Inc | |
|
5600 Sw 135th Ave Ste 216 Miami FL 33183-5101 | |
| (786) 536-6196 | |
| (786) 558-9425 |
| Full Name | Es Rehab Professional Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5600 Sw 135th Ave Ste 216, Miami, Florida |
| Authorized Official Name and Position | Miguel Padron (OWNER) |
| Authorized Official Contact | 7865366196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Es Rehab Professional Center, Inc 5600 Sw 135th Ave Ste 216 Miami FL 33183-5101 Ph: (786) 536-6196 | Es Rehab Professional Center, Inc 5600 Sw 135th Ave Ste 216 Miami FL 33183-5101 Ph: (786) 536-6196 |
| NPI Number | 1386948222 |
|---|---|
| Provider Enumeration Date | 01/07/2011 |
| Last Update Date | 07/17/2024 |
| Medicare PECOS PAC ID | 0042446049 |
|---|---|
| Medicare Enrollment ID | O20140306000503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386948222 | NPI | - | NPPES |
| 113774600 | Medicaid | FL | |
| 118017400 | Medicaid | FL | |
| 108217200 | Medicaid | FL | |
| 114848400 | Medicaid | FL |
| Provider Name | Carina Diez De Sollano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215204433 PECOS PAC ID: 6608034392 Enrollment ID: I20120227000759 |
| Provider Name | Wilfredo Eddy Bravo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457544702 PECOS PAC ID: 3274717178 Enrollment ID: I20120723000143 |
| Provider Name | Kevin Fitzgerald |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891923744 PECOS PAC ID: 6204980717 Enrollment ID: I20160822001548 |
| Provider Name | Eric Rafael Campillo-juig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205039005 PECOS PAC ID: 6901173566 Enrollment ID: I20171220002705 |
| Provider Name | Jose A Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154754851 PECOS PAC ID: 6103177878 Enrollment ID: I20180919000634 |
| Provider Name | Luis Mario Molina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003116286 PECOS PAC ID: 0547655565 Enrollment ID: I20220309002115 |
| Provider Name | Arturo Dominguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922551589 PECOS PAC ID: 9436599701 Enrollment ID: I20240503000488 |
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