Provider Demographics
NPI:1326347717
Name:AZUL ZONE REHAB CENTER, INC
Entity Type:Organization
Organization Name:AZUL ZONE REHAB CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:ENRIQUE
Authorized Official - Last Name:BENAZET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-546-5572
Mailing Address - Street 1:13944 SW 8TH ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-3052
Mailing Address - Country:US
Mailing Address - Phone:305-222-0280
Mailing Address - Fax:305-222-0480
Practice Address - Street 1:13944 SW 8TH ST
Practice Address - Street 2:SUITE 211
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-3052
Practice Address - Country:US
Practice Address - Phone:305-222-0280
Practice Address - Fax:305-222-0480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81033208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty