Provider Demographics
NPI:1568773554
Name:AMERICAN RELAX CENTER, INC
Entity Type:Organization
Organization Name:AMERICAN RELAX CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOLIANID
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA-LOPRESTO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:813-443-0958
Mailing Address - Street 1:4600 N HABANA AVE
Mailing Address - Street 2:STE 18A
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-7112
Mailing Address - Country:US
Mailing Address - Phone:813-443-0958
Mailing Address - Fax:813-443-0959
Practice Address - Street 1:4600 N HABANA AVE
Practice Address - Street 2:STE 18A
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7112
Practice Address - Country:US
Practice Address - Phone:813-443-0958
Practice Address - Fax:813-443-0959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation