Provider Demographics
NPI:1962822668
Name:K&K REHABILITATION SERVICES INC
Entity Type:Organization
Organization Name:K&K REHABILITATION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CLAUDIO
Authorized Official - Middle Name:
Authorized Official - Last Name:SOBERANES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:305-975-5452
Mailing Address - Street 1:4730 SW 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-4518
Mailing Address - Country:US
Mailing Address - Phone:786-362-5482
Mailing Address - Fax:305-397-2846
Practice Address - Street 1:4730 SW 72ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155
Practice Address - Country:US
Practice Address - Phone:786-362-5482
Practice Address - Fax:305-397-2846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-21
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIN576AOtherMEDICARE