Provider Demographics
NPI:1134143886
Name:DNATURAL REHABILITATION CENTERS
Entity Type:Organization
Organization Name:DNATURAL REHABILITATION CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:BARCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-446-1354
Mailing Address - Street 1:4343 W FLAGLER ST
Mailing Address - Street 2:SUITE 501
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1586
Mailing Address - Country:US
Mailing Address - Phone:305-446-1354
Mailing Address - Fax:305-446-1737
Practice Address - Street 1:4343 W FLAGLER ST
Practice Address - Street 2:SUITE 404
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1586
Practice Address - Country:US
Practice Address - Phone:305-446-1354
Practice Address - Fax:305-446-1737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA39439225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherTAX ID
FL=========OtherTAX ID