Provider Demographics
NPI:1417000746
Name:TBR & R INC
Entity Type:Organization
Organization Name:TBR & R INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUELVAS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:407-447-2075
Mailing Address - Street 1:1507 SOUTH HIAWASSEE ROAD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1507 SOUTH HIAWASSEE ROAD
Practice Address - Street 2:SUITE 215
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835
Practice Address - Country:US
Practice Address - Phone:407-447-2075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0069749208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty