Provider Demographics
NPI:1144599382
Name:J & A REHABILITATION SERVICES CORP
Entity Type:Organization
Organization Name:J & A REHABILITATION SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:P,D
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:B
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-269-8094
Mailing Address - Street 1:3641 NW 100TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-1952
Mailing Address - Country:US
Mailing Address - Phone:786-269-8094
Mailing Address - Fax:
Practice Address - Street 1:3641 NW 100TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-1952
Practice Address - Country:US
Practice Address - Phone:786-269-8094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 62714261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation