1265691356 NPI number — PAIN RELIEF REHAB MEDICAL CENTER,CORP

Table of content: (NPI 1265691356)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265691356 NPI number — PAIN RELIEF REHAB MEDICAL CENTER,CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PAIN RELIEF REHAB MEDICAL CENTER,CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
N/A
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265691356
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/08/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3750 W 16TH AVE
Provider Second Line Business Mailing Address:
SUITE#104
Provider Business Mailing Address City Name:
HIALEAH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33012-4654
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-821-2530
Provider Business Mailing Address Fax Number:
305-821-2968

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3750 W 16TH AVE
Provider Second Line Business Practice Location Address:
SUITE#104
Provider Business Practice Location Address City Name:
HIALEAH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33012-4654
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-821-2530
Provider Business Practice Location Address Fax Number:
305-821-2968
Provider Enumeration Date:
06/04/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ASCENCION
Authorized Official First Name:
ROBERTA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
305-821-2530

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X , with the licence number:  HCC8097 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)