Provider Demographics
NPI:1376747527
Name:ASSOCIATES THERAPIST GROUP INC
Entity Type:Organization
Organization Name:ASSOCIATES THERAPIST GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONDEJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-207-8786
Mailing Address - Street 1:8760A SW 8TH ST
Mailing Address - Street 2:SUITE 14
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-3201
Mailing Address - Country:US
Mailing Address - Phone:305-207-8786
Mailing Address - Fax:305-207-8773
Practice Address - Street 1:8760A SW 8TH ST
Practice Address - Street 2:SUITE 14
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-3201
Practice Address - Country:US
Practice Address - Phone:305-207-8786
Practice Address - Fax:305-207-8773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC 4816261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHCC 4816OtherACHA EXEMPION CERT
FLHCC 4816OtherACHA EXEMPION CERT