Provider Demographics
NPI:1821850405
Name:KENDALL SOUTH REHAB INC
Entity type:Organization
Organization Name:KENDALL SOUTH REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARIDAD
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-212-4119
Mailing Address - Street 1:605 SW 57TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-3919
Mailing Address - Country:US
Mailing Address - Phone:305-960-7156
Mailing Address - Fax:
Practice Address - Street 1:4689 PONCE DE LEON BLVD STE 200
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2133
Practice Address - Country:US
Practice Address - Phone:786-803-8025
Practice Address - Fax:213-832-3211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies