| Healing Rehabilitation Center Corp | |
|
14411 Commerce Way Ste 206 Miami Lakes FL 33016-1598 | |
| (786) 409-3454 | |
| Not Available |
| Full Name | Healing Rehabilitation Center Corp |
|---|---|
| Speciality | General Practice |
| Location | 14411 Commerce Way Ste 206, Miami Lakes, Florida |
| Authorized Official Name and Position | Freddy Marino Leyva (PRESIDENT) |
| Authorized Official Contact | 7864093454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Rehabilitation Center Corp 14411 Commerce Way Ste 206 Miami Lakes FL 33016-1598 Ph: (786) 409-3454 | Healing Rehabilitation Center Corp 14411 Commerce Way Ste 206 Miami Lakes FL 33016-1598 Ph: (786) 409-3454 |
| NPI Number | 1962079814 |
|---|---|
| Provider Enumeration Date | 06/09/2021 |
| Last Update Date | 08/29/2024 |
| Medicare PECOS PAC ID | 2668869835 |
|---|---|
| Medicare Enrollment ID | O20220419000985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962079814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Anil T Abraham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730225442 PECOS PAC ID: 2466504659 Enrollment ID: I20091019000555 |
| Provider Name | Gloria M Grajales |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043522691 PECOS PAC ID: 1456646975 Enrollment ID: I20160823002582 |
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