Provider Demographics
NPI:1114515319
Name:ADVANCED RECOVERY REHAB CORP.
Entity Type:Organization
Organization Name:ADVANCED RECOVERY REHAB CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:ALVARO
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:AGUERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-639-8292
Mailing Address - Street 1:10300 SW 72ND ST STE 190
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3040
Mailing Address - Country:US
Mailing Address - Phone:305-639-8292
Mailing Address - Fax:
Practice Address - Street 1:10300 SW 72ND ST STE 190
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3040
Practice Address - Country:US
Practice Address - Phone:305-639-8292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty