Provider Demographics
NPI:1720677214
Name:ADVANCE REHAB INC.
Entity Type:Organization
Organization Name:ADVANCE REHAB INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/RIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:786-234-8760
Mailing Address - Street 1:700 SW 31ST AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2748
Mailing Address - Country:US
Mailing Address - Phone:786-234-8760
Mailing Address - Fax:305-649-6628
Practice Address - Street 1:700 SW 31ST AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2748
Practice Address - Country:US
Practice Address - Phone:786-234-8760
Practice Address - Fax:305-649-6628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy