Provider Demographics
NPI:1295852960
Name:INSTITUTE OF REHABILITATION & HELP, INC
Entity type:Organization
Organization Name:INSTITUTE OF REHABILITATION & HELP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARTOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEDESMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-419-7951
Mailing Address - Street 1:8551 NW 138TH ST
Mailing Address - Street 2:2103
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-6587
Mailing Address - Country:US
Mailing Address - Phone:786-419-7951
Mailing Address - Fax:
Practice Address - Street 1:600 E 25TH ST
Practice Address - Street 2:SUITE A B
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3801
Practice Address - Country:US
Practice Address - Phone:305-836-6016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC4362261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5430Medicare ID - Type UnspecifiedCLINIC