Provider Demographics
NPI:1134985823
Name:E & Y MEDICAL CLINIC REHABILITATION CENTER INC
Entity type:Organization
Organization Name:E & Y MEDICAL CLINIC REHABILITATION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YASLEIDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ MORERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-833-1410
Mailing Address - Street 1:6718 N HIMES AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-4064
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6718 N HIMES AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-4064
Practice Address - Country:US
Practice Address - Phone:813-353-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty