Provider Demographics
NPI:1770394363
Name:MAJESTY REHAB CENTER CORP
Entity type:Organization
Organization Name:MAJESTY REHAB CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAGOBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:ECHEMENDIA CERVANTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-615-2612
Mailing Address - Street 1:8660 W FLAGLER ST STE 103
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2035
Mailing Address - Country:US
Mailing Address - Phone:786-615-2543
Mailing Address - Fax:
Practice Address - Street 1:8660 W FLAGLER ST STE 103
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2035
Practice Address - Country:US
Practice Address - Phone:786-615-2543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty