Provider Demographics
NPI:1831494467
Name:RAINBOW REHAB & MEDICAL CENTER INC.
Entity Type:Organization
Organization Name:RAINBOW REHAB & MEDICAL CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-953-4754
Mailing Address - Street 1:8302 NW 103RD ST
Mailing Address - Street 2:202
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-4697
Mailing Address - Country:US
Mailing Address - Phone:786-953-4754
Mailing Address - Fax:786-414-0561
Practice Address - Street 1:8302 NW 103RD ST
Practice Address - Street 2:202
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-4697
Practice Address - Country:US
Practice Address - Phone:786-953-4754
Practice Address - Fax:786-414-0561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty