Provider Demographics
NPI:1740443647
Name:PROGRESS REHABILITATION INC
Entity type:Organization
Organization Name:PROGRESS REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:AGUIAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-290-4600
Mailing Address - Street 1:PO BOX 350312
Mailing Address - Street 2:JOSE MARTI STATION
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-0312
Mailing Address - Country:US
Mailing Address - Phone:305-644-4077
Mailing Address - Fax:
Practice Address - Street 1:1393 SW 1 STREET
Practice Address - Street 2:SUITE 415
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135
Practice Address - Country:US
Practice Address - Phone:305-644-4077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty