Provider Demographics
NPI:1851827810
Name:SYSTEMS & STRUCTURE REHAB CENTER INC
Entity Type:Organization
Organization Name:SYSTEMS & STRUCTURE REHAB CENTER INC
Other - Org Name:BLESSED PEDIATRIC CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALIETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEYRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-342-2481
Mailing Address - Street 1:4715 NW 157TH ST STE 111-119
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-6435
Mailing Address - Country:US
Mailing Address - Phone:305-342-2481
Mailing Address - Fax:800-603-8864
Practice Address - Street 1:4715 NW 157TH ST STE 111-119
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-6435
Practice Address - Country:US
Practice Address - Phone:305-260-6621
Practice Address - Fax:800-603-8864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation