Provider Demographics
NPI:1518275841
Name:C&P REHABILITATION SERVICES
Entity Type:Organization
Organization Name:C&P REHABILITATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:786-347-4057
Mailing Address - Street 1:42 NW 27TH AVE STE 400-A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-5136
Mailing Address - Country:US
Mailing Address - Phone:786-347-4057
Mailing Address - Fax:786-347-4057
Practice Address - Street 1:42 NW 27TH AVE STE 400-A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-5136
Practice Address - Country:US
Practice Address - Phone:786-347-4057
Practice Address - Fax:786-347-4057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM25356261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy