Provider Demographics
NPI:1689216731
Name:HEALTHY LIFE REHAB CENTER INC
Entity Type:Organization
Organization Name:HEALTHY LIFE REHAB CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ GALVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-332-4918
Mailing Address - Street 1:5545 SW 8TH ST STE 205
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2286
Mailing Address - Country:US
Mailing Address - Phone:786-332-4918
Mailing Address - Fax:
Practice Address - Street 1:5545 SW 8TH ST STE 205
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2286
Practice Address - Country:US
Practice Address - Phone:786-332-4918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-10
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation