Provider Demographics
NPI:1710084991
Name:MAGIC REHABILITATION CENTER INC
Entity Type:Organization
Organization Name:MAGIC REHABILITATION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO /ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:NICOLAS
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-444-4944
Mailing Address - Street 1:5200 SW 8TH ST
Mailing Address - Street 2:SUITE 204-A & 205-A
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2300
Mailing Address - Country:US
Mailing Address - Phone:305-444-4944
Mailing Address - Fax:305-444-9076
Practice Address - Street 1:5200 SW 8TH ST
Practice Address - Street 2:SUITE 204-A & 205-A
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2300
Practice Address - Country:US
Practice Address - Phone:305-444-4944
Practice Address - Fax:305-444-9076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL889215600Medicaid
FL889215600Medicaid