Provider Demographics
NPI:1760769491
Name:CH REHAB & DIAGNOSTIC CENTER
Entity Type:Organization
Organization Name:CH REHAB & DIAGNOSTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NORBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:PACIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-460-9908
Mailing Address - Street 1:PO BOX 260911
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-0017
Mailing Address - Country:US
Mailing Address - Phone:305-460-9908
Mailing Address - Fax:305-460-9909
Practice Address - Street 1:5040 NW 7TH ST
Practice Address - Street 2:SUITE 690
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3422
Practice Address - Country:US
Practice Address - Phone:305-460-9908
Practice Address - Fax:305-460-9909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-09
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty