Provider Demographics
NPI:1942531058
Name:MAJESTIC REHABILITATION CENTER CORP
Entity Type:Organization
Organization Name:MAJESTIC REHABILITATION CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GUSTAVO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:305-220-2395
Mailing Address - Street 1:11200 W FLAGLER ST
Mailing Address - Street 2:SUITE:211
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-4210
Mailing Address - Country:US
Mailing Address - Phone:305-220-2395
Mailing Address - Fax:305-220-2395
Practice Address - Street 1:11200 W FLAGLER ST
Practice Address - Street 2:SUITE:211
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-4210
Practice Address - Country:US
Practice Address - Phone:305-220-2395
Practice Address - Fax:305-220-2395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA50830261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy