Provider Demographics
NPI:1043809080
Name:GENESIS REHAB CORP
Entity Type:Organization
Organization Name:GENESIS REHAB CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OVIDIO
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:RODRIGUEZ CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-206-1040
Mailing Address - Street 1:7270 NW 12TH ST STE 870
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1951
Mailing Address - Country:US
Mailing Address - Phone:786-439-5143
Mailing Address - Fax:
Practice Address - Street 1:7270 NW 12TH ST STE 870
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1951
Practice Address - Country:US
Practice Address - Phone:786-206-1040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health