Provider Demographics
NPI:1770814824
Name:A & S REHABILITATION CENTER,CORP.
Entity Type:Organization
Organization Name:A & S REHABILITATION CENTER,CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:ARMANDO
Authorized Official - Last Name:BERNAL
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:305-871-7913
Mailing Address - Street 1:6501 NW 36TH ST
Mailing Address - Street 2:301
Mailing Address - City:VIRGINIA GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6959
Mailing Address - Country:US
Mailing Address - Phone:305-871-7913
Mailing Address - Fax:305-871-7915
Practice Address - Street 1:6501 NW 36TH ST
Practice Address - Street 2:301
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166-6959
Practice Address - Country:US
Practice Address - Phone:305-871-7913
Practice Address - Fax:305-871-7915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy