Provider Demographics
NPI:1497789549
Name:J & R THERAPY CENTER INC
Entity Type:Organization
Organization Name:J & R THERAPY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SOTO DIP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-630-2921
Mailing Address - Street 1:9835 SW 72 ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4670
Mailing Address - Country:US
Mailing Address - Phone:305-630-2921
Mailing Address - Fax:305-630-2922
Practice Address - Street 1:9835 SW 72 ST
Practice Address - Street 2:SUITE 203
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4670
Practice Address - Country:US
Practice Address - Phone:305-630-2921
Practice Address - Fax:305-630-2922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686847Medicare Oscar/Certification