Provider Demographics
NPI:1629024633
Name:A B REHABILITATION CENTER INC
Entity type:Organization
Organization Name:A B REHABILITATION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ZUGEYLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-649-9545
Mailing Address - Street 1:1901 W FLAGLER ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-1677
Mailing Address - Country:US
Mailing Address - Phone:305-649-9545
Mailing Address - Fax:305-649-9545
Practice Address - Street 1:1901 W FLAGLER ST
Practice Address - Street 2:SUITE 7
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1677
Practice Address - Country:US
Practice Address - Phone:305-649-9545
Practice Address - Fax:305-649-9545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2009-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5638730001Medicare NSC
FL684567Medicare Oscar/Certification