Provider Demographics
NPI:1699179499
Name:A1A REHAB CENTER INC
Entity Type:Organization
Organization Name:A1A REHAB CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:786-332-4009
Mailing Address - Street 1:4355 W 16TH AVE STE 203A
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7643
Mailing Address - Country:US
Mailing Address - Phone:786-332-4009
Mailing Address - Fax:786-332-4109
Practice Address - Street 1:4355 W 16TH AVE STE 203A
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7643
Practice Address - Country:US
Practice Address - Phone:786-332-4009
Practice Address - Fax:786-332-4109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-22
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service