| Kendall South Rehab Inc | |
|
4689 Ponce De Leon Blvd Ste 200 Coral Gables FL 33146-2133 | |
| (786) 803-8025 | |
| (213) 832-3211 |
| Full Name | Kendall South Rehab Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4689 Ponce De Leon Blvd Ste 200, Coral Gables, Florida |
| Authorized Official Name and Position | Caridad Torres (PRESIDENT) |
| Authorized Official Contact | 3059607156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kendall South Rehab Inc 4689 Ponce De Leon Blvd Ste 200 Coral Gables FL 33146-2133 Ph: (786) 803-8025 | Kendall South Rehab Inc 4689 Ponce De Leon Blvd Ste 200 Coral Gables FL 33146-2133 Ph: (786) 803-8025 |
| NPI Number | 1275143372 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 08/23/2024 |
| Medicare PECOS PAC ID | 4587083217 |
|---|---|
| Medicare Enrollment ID | O20200930001330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275143372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Luis F Roa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174678775 PECOS PAC ID: 3971505264 Enrollment ID: I20070215000721 |
| Provider Name | Kristel M Berdugo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851621825 PECOS PAC ID: 4880723246 Enrollment ID: I20100522000020 |
| Provider Name | Cristina Blanco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407278815 PECOS PAC ID: 4284867292 Enrollment ID: I20140428001635 |
| Provider Name | Rossniel Marinas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578682563 PECOS PAC ID: 7517190937 Enrollment ID: I20140508001553 |
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