Provider Demographics
NPI:1609006253
Name:TOTAL REHAB SERVICES INC
Entity Type:Organization
Organization Name:TOTAL REHAB SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HERMAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, AP, LMHC
Authorized Official - Phone:305-644-7294
Mailing Address - Street 1:14411 COMMERCE WAY STE 315
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1532
Mailing Address - Country:US
Mailing Address - Phone:305-644-7294
Mailing Address - Fax:305-644-7295
Practice Address - Street 1:14411 COMMERCE WAY STE 315
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1532
Practice Address - Country:US
Practice Address - Phone:305-644-7294
Practice Address - Fax:305-644-7295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1113AD301401261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1235188905OtherMENTAL HEALTH