Provider Demographics
NPI:1821361452
Name:MS MEDICAL REHAB CORPORATION
Entity Type:Organization
Organization Name:MS MEDICAL REHAB CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SOMARRIBA
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:786-360-2709
Mailing Address - Street 1:4343 W FLAGLER ST STE 501
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1586
Mailing Address - Country:US
Mailing Address - Phone:786-360-2709
Mailing Address - Fax:786-362-5937
Practice Address - Street 1:4343 W FLAGLER ST STE 501
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1586
Practice Address - Country:US
Practice Address - Phone:786-360-2709
Practice Address - Fax:786-362-5937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA51983261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation