Provider Demographics
NPI:1528006111
Name:GUIRA S REHAB CENTER INC
Entity Type:Organization
Organization Name:GUIRA S REHAB CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:CESAR
Authorized Official - Last Name:CORDOVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-594-6603
Mailing Address - Street 1:5207 NW 74TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4824
Mailing Address - Country:US
Mailing Address - Phone:305-594-6603
Mailing Address - Fax:305-594-8994
Practice Address - Street 1:5207 NW 74TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-4824
Practice Address - Country:US
Practice Address - Phone:305-594-6603
Practice Address - Fax:305-594-8994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686835Medicare ID - Type UnspecifiedORF