Provider Demographics
NPI:1801116751
Name:R HEALTH & MEDICAL CENTER
Entity type:Organization
Organization Name:R HEALTH & MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEHOGUES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-400-8792
Mailing Address - Street 1:2200 SW 16TH ST
Mailing Address - Street 2:#224
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2067
Mailing Address - Country:US
Mailing Address - Phone:305-400-8792
Mailing Address - Fax:305-400-8793
Practice Address - Street 1:2200 SW 16TH ST
Practice Address - Street 2:#224
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2067
Practice Address - Country:US
Practice Address - Phone:305-400-8792
Practice Address - Fax:305-400-8793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6818703273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit