Provider Demographics
NPI:1336595792
Name:Y & A REHAB MEDICAL CENTER INC
Entity Type:Organization
Organization Name:Y & A REHAB MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-264-3025
Mailing Address - Street 1:7200 NW 7TH ST
Mailing Address - Street 2:206
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2948
Mailing Address - Country:US
Mailing Address - Phone:305-264-3025
Mailing Address - Fax:305-264-3935
Practice Address - Street 1:7200 NW 7TH ST
Practice Address - Street 2:206
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2948
Practice Address - Country:US
Practice Address - Phone:305-264-3025
Practice Address - Fax:305-264-3935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty