Provider Demographics
NPI:1649269960
Name:DORAL THERAPY SERVCES INC
Entity type:Organization
Organization Name:DORAL THERAPY SERVCES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUARTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-594-0330
Mailing Address - Street 1:1200 NW 78TH AVE
Mailing Address - Street 2:STE 114
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1835
Mailing Address - Country:US
Mailing Address - Phone:305-594-0330
Mailing Address - Fax:305-594-0387
Practice Address - Street 1:1200 NW 78TH AVE
Practice Address - Street 2:STE 114
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1835
Practice Address - Country:US
Practice Address - Phone:305-594-0330
Practice Address - Fax:305-594-0387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-19
Last Update Date:2008-05-15
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
FL684828Medicare Oscar/Certification