Provider Demographics
NPI:1760750269
Name:OASIS REHAB AND MEDICAL CENTER
Entity Type:Organization
Organization Name:OASIS REHAB AND MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:TRUTIE
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:786-487-1786
Mailing Address - Street 1:8302 NW 103RD ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-4697
Mailing Address - Country:US
Mailing Address - Phone:786-487-1786
Mailing Address - Fax:
Practice Address - Street 1:8302 NW 103RD ST
Practice Address - Street 2:SUITE 202
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-4697
Practice Address - Country:US
Practice Address - Phone:786-487-1786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation