Provider Demographics
NPI:1245262930
Name:ASSOCIATES REHABILITATION SOUTH, INC
Entity type:Organization
Organization Name:ASSOCIATES REHABILITATION SOUTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:305-964-0337
Mailing Address - Street 1:456 WEST 51 PLACE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3833
Mailing Address - Country:US
Mailing Address - Phone:305-364-0337
Mailing Address - Fax:305-364-0338
Practice Address - Street 1:456 WEST 51 PLACE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3833
Practice Address - Country:US
Practice Address - Phone:305-364-0337
Practice Address - Fax:305-364-0338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
6823206261Medicare PIN
FL683206Medicare PIN