Provider Demographics
NPI:1093748857
Name:DRENA EXPRESS HEALTH
Entity Type:Organization
Organization Name:DRENA EXPRESS HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:DIEJO
Authorized Official - Last Name:URENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-403-0005
Mailing Address - Street 1:1202 NW 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1919
Mailing Address - Country:US
Mailing Address - Phone:305-403-0005
Mailing Address - Fax:305-418-9685
Practice Address - Street 1:1202 NW 72ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1919
Practice Address - Country:US
Practice Address - Phone:305-403-0005
Practice Address - Fax:305-418-9685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty