Provider Demographics
NPI:1497179766
Name:BRIA REHABILITATION CENTER CORP
Entity Type:Organization
Organization Name:BRIA REHABILITATION CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REINALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CINTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-384-0868
Mailing Address - Street 1:1140 W 50TH ST STE 400B
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3400
Mailing Address - Country:US
Mailing Address - Phone:786-384-0868
Mailing Address - Fax:786-373-3003
Practice Address - Street 1:1140 W 50TH ST STE 400B
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3400
Practice Address - Country:US
Practice Address - Phone:786-384-0868
Practice Address - Fax:786-373-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-07
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC8463261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service