Provider Demographics
NPI:1619137379
Name:MIAMI ORTHOPEDICS REHAB & FITNESS, INC.
Entity Type:Organization
Organization Name:MIAMI ORTHOPEDICS REHAB & FITNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIPE
Authorized Official - Middle Name:
Authorized Official - Last Name:OTERO
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:786-389-7989
Mailing Address - Street 1:11028 SW 132ND PL
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-7954
Mailing Address - Country:US
Mailing Address - Phone:786-389-7989
Mailing Address - Fax:305-382-4723
Practice Address - Street 1:11028 SW 132ND PL
Practice Address - Street 2:SUITE 4
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-7954
Practice Address - Country:US
Practice Address - Phone:786-389-7989
Practice Address - Fax:305-382-4723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT22715261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy