Provider Demographics
NPI:1033754775
Name:GUERRERO MEDICAL REHAB CENTER INC.
Entity Type:Organization
Organization Name:GUERRERO MEDICAL REHAB CENTER INC.
Other - Org Name:GUERRERO MEDICAL REHAB CENTER INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/ MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:
Authorized Official - Last Name:GUERRERO
Authorized Official - Suffix:
Authorized Official - Credentials:MASSAGE THERAPIST
Authorized Official - Phone:305-316-1126
Mailing Address - Street 1:14100 PALMETTO FRNTG RD STE 105
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1568
Mailing Address - Country:US
Mailing Address - Phone:305-316-1126
Mailing Address - Fax:305-559-4930
Practice Address - Street 1:14100 PALMETTO FRNTG RD STE 105
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1568
Practice Address - Country:US
Practice Address - Phone:305-316-1126
Practice Address - Fax:305-559-4930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-15
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation