| Professional Rehabilitation Center Inc | |
|
6595 Nw 36th St Suite 202 Virginia Gardens FL 33166-6979 | |
| (305) 666-2888 | |
| Not Available |
| Full Name | Professional Rehabilitation Center Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 6595 Nw 36th St, Virginia Gardens, Florida |
| Authorized Official Name and Position | Robert De La Riva (DIRECTOR) |
| Authorized Official Contact | 3056662888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Rehabilitation Center Inc 6595 Nw 36th St Suite 202 Virginia Gardens FL 33166-6979 Ph: (305) 666-2888 | Professional Rehabilitation Center Inc 6595 Nw 36th St Suite 202 Virginia Gardens FL 33166-6979 Ph: (305) 666-2888 |
| NPI Number | 1760412704 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760412704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | HCC4495 (Florida) | Primary |
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