Provider Demographics
NPI:1710937453
Name:HEALTH REHABILITATIVE EQUIPMENT CORP
Entity Type:Organization
Organization Name:HEALTH REHABILITATIVE EQUIPMENT CORP
Other - Org Name:HEALTH REHABILITATIVE PHARMACY CORP
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-408-8951
Mailing Address - Street 1:15652 SW 72ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-1921
Mailing Address - Country:US
Mailing Address - Phone:305-408-8951
Mailing Address - Fax:305-408-8952
Practice Address - Street 1:15652 SW 72ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-1921
Practice Address - Country:US
Practice Address - Phone:305-408-8951
Practice Address - Fax:305-408-8952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH214303336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH21430OtherPHARMACY LICENSE
FL0960770001Medicare ID - Type Unspecified