| South Psychological & Physical Rehabilitation, Inc | |
|
1408 Ne 1st Ave Homestead FL 33030-4535 | |
| (305) 242-1399 | |
| (305) 242-9442 |
| Full Name | South Psychological & Physical Rehabilitation, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1408 Ne 1st Ave, Homestead, Florida |
| Authorized Official Name and Position | Kadel Torres (PRESIDENT) |
| Authorized Official Contact | 3052421399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Psychological & Physical Rehabilitation, Inc 1408 Ne 1st Ave Homestead FL 33030-4535 Ph: (305) 242-1399 | South Psychological & Physical Rehabilitation, Inc 1408 Ne 1st Ave Homestead FL 33030-4535 Ph: (305) 242-1399 |
| NPI Number | 1760819635 |
|---|---|
| Provider Enumeration Date | 10/08/2013 |
| Last Update Date | 09/16/2022 |
| Medicare PECOS PAC ID | 0143345595 |
|---|---|
| Medicare Enrollment ID | O20131010001513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760819635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey T Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528487808 PECOS PAC ID: 9032420864 Enrollment ID: I20150622000607 |
| Provider Name | Alexis S Arzuaga Ferreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992270094 PECOS PAC ID: 8426388653 Enrollment ID: I20191001001226 |
| Provider Name | Maurice Garcia Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780289165 PECOS PAC ID: 2668827874 Enrollment ID: I20231009000438 |
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