Provider Demographics
NPI:1679526545
Name:ESPINOSA REHABILITATION SERVICE, INC.
Entity Type:Organization
Organization Name:ESPINOSA REHABILITATION SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-824-9924
Mailing Address - Street 1:8325 W 24TH AVE
Mailing Address - Street 2:SUITE 9
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1880
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8325 W 24TH AVE
Practice Address - Street 2:SUITE 9
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1880
Practice Address - Country:US
Practice Address - Phone:305-824-9924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686694Medicare ID - Type Unspecified