Provider Demographics
NPI:1437457934
Name:O PAIN REHABILITATION INC
Entity Type:Organization
Organization Name:O PAIN REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OSVALDO
Authorized Official - Middle Name:PINEIRO
Authorized Official - Last Name:GUERRERO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:786-333-5427
Mailing Address - Street 1:12401 W OKEECHOBEE RD
Mailing Address - Street 2:LOT 119
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-2924
Mailing Address - Country:US
Mailing Address - Phone:786-333-5427
Mailing Address - Fax:
Practice Address - Street 1:12401 W OKEECHOBEE RD
Practice Address - Street 2:LOT 119
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-2924
Practice Address - Country:US
Practice Address - Phone:786-333-5427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA60863173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173C00000XOther Service ProvidersReflexologistGroup - Single Specialty