Provider Demographics
NPI:1225073174
Name:MC REHABILITATION SERVICES INC
Entity Type:Organization
Organization Name:MC REHABILITATION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:305-343-6835
Mailing Address - Street 1:5200 SW 8TH ST
Mailing Address - Street 2:SUITE 111/113
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2300
Mailing Address - Country:US
Mailing Address - Phone:305-476-1213
Mailing Address - Fax:305-476-1464
Practice Address - Street 1:5200 SW 8TH ST
Practice Address - Street 2:SUITE 111/113
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2300
Practice Address - Country:US
Practice Address - Phone:305-476-1213
Practice Address - Fax:305-476-1464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT8108261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ0443OtherMEDICARE
FLQ0443Medicare PIN