Provider Demographics
NPI:1386650620
Name:G.S.REHABILITATION CENTER, INC.
Entity Type:Organization
Organization Name:G.S.REHABILITATION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAHENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MIYARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-448-8919
Mailing Address - Street 1:4343 W FLAGLER ST
Mailing Address - Street 2:302
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1586
Mailing Address - Country:US
Mailing Address - Phone:305-448-8919
Mailing Address - Fax:305-449-8980
Practice Address - Street 1:4343 W FLAGLER ST
Practice Address - Street 2:302
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1586
Practice Address - Country:US
Practice Address - Phone:305-448-8919
Practice Address - Fax:305-449-8980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC7124261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHCC7124OtherAHCA LICENSE NUMBER