Provider Demographics
NPI:1437571619
Name:ADAPTED FOR ACCESS, INCORPORATED
Entity Type:Organization
Organization Name:ADAPTED FOR ACCESS, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REHABILITATION ENGINEER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEXANDER
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:REINA
Authorized Official - Suffix:
Authorized Official - Credentials:PE, ATP, RET, CBC
Authorized Official - Phone:786-554-4099
Mailing Address - Street 1:1329 SW 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-5444
Mailing Address - Country:US
Mailing Address - Phone:305-267-3856
Mailing Address - Fax:305-643-7498
Practice Address - Street 1:1329 SW 72ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-5444
Practice Address - Country:US
Practice Address - Phone:786-554-4099
Practice Address - Fax:305-643-7498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL692733598Medicaid
FL692733596Medicaid
FL1194925172OtherPERSONAL NPI
FL690466179Medicaid