Provider Demographics
NPI:1477929545
Name:MAS REHABLILITATION SERVICES, INC.
Entity Type:Organization
Organization Name:MAS REHABLILITATION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:MAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-586-2465
Mailing Address - Street 1:3181 CORAL WAY
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3216
Mailing Address - Country:US
Mailing Address - Phone:305-858-3494
Mailing Address - Fax:
Practice Address - Street 1:3181 CORAL WAY
Practice Address - Street 2:5TH FLOOR
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33145-3216
Practice Address - Country:US
Practice Address - Phone:305-858-3494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA13171235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty