Provider Demographics
NPI:1073674750
Name:THE GABLES REHABILITATION CENTER, LLC
Entity Type:Organization
Organization Name:THE GABLES REHABILITATION CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ-ARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-442-0828
Mailing Address - Street 1:PO BOX 141874
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33114-1874
Mailing Address - Country:US
Mailing Address - Phone:305-442-0828
Mailing Address - Fax:305-442-1636
Practice Address - Street 1:3727 SW 8TH ST
Practice Address - Street 2:SUITE 105
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-3158
Practice Address - Country:US
Practice Address - Phone:305-442-0828
Practice Address - Fax:305-442-1636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4588Medicare ID - Type UnspecifiedMEDICAL PROVIDER