Provider Demographics
NPI:1104374982
Name:BT REHABILITATION CENTER INC
Entity Type:Organization
Organization Name:BT REHABILITATION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIOSDANY
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-362-5413
Mailing Address - Street 1:2450 SW 137TH AVE
Mailing Address - Street 2:SUITE 225
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-8802
Mailing Address - Country:US
Mailing Address - Phone:786-362-5413
Mailing Address - Fax:786-362-5422
Practice Address - Street 1:2450 SW 137TH AVE
Practice Address - Street 2:SUITE 225
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-8802
Practice Address - Country:US
Practice Address - Phone:786-362-5413
Practice Address - Fax:786-362-5422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-21
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty