Provider Demographics
NPI:1891988846
Name:ALZUAGA REHAB CENTER INC
Entity Type:Organization
Organization Name:ALZUAGA REHAB CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAZARO
Authorized Official - Middle Name:JESUS
Authorized Official - Last Name:ALZUAGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-985-8396
Mailing Address - Street 1:8181 NW 36 ST
Mailing Address - Street 2:SUITE 1905
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6641
Mailing Address - Country:US
Mailing Address - Phone:786-985-8396
Mailing Address - Fax:
Practice Address - Street 1:8181 NW 36 ST
Practice Address - Street 2:SUITE 1905
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6641
Practice Address - Country:US
Practice Address - Phone:786-985-8396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation