Provider Demographics
NPI:1912993130
Name:ALLIED THERAPY SERVICES INC
Entity Type:Organization
Organization Name:ALLIED THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YESENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALDONADO
Authorized Official - Suffix:
Authorized Official - Credentials:COTA
Authorized Official - Phone:305-828-5810
Mailing Address - Street 1:6447 MIAMI LAKES DR E
Mailing Address - Street 2:STE 220
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2741
Mailing Address - Country:US
Mailing Address - Phone:305-828-5810
Mailing Address - Fax:305-828-5848
Practice Address - Street 1:6447 MIAMI LAKES DR E
Practice Address - Street 2:STE 220
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2741
Practice Address - Country:US
Practice Address - Phone:305-828-5810
Practice Address - Fax:305-828-5848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686735Medicare Oscar/Certification