Provider Demographics
NPI: | 1932341666 |
---|---|
Name: | AROCHE THERAPY CENTER CORP. |
Entity Type: | Organization |
Organization Name: | AROCHE THERAPY CENTER CORP. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER/PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | JORGE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | RUIZ |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 786-360-4470 |
Mailing Address - Street 1: | 4800 W FLAGLER ST |
Mailing Address - Street 2: | SUITE 105 |
Mailing Address - City: | CORAL GABLES |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33134-1446 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 786-360-4470 |
Mailing Address - Fax: | 786-360-4475 |
Practice Address - Street 1: | 4800 W FLAGLER ST |
Practice Address - Street 2: | SUITE 105 |
Practice Address - City: | CORAL GABLES |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33134-1446 |
Practice Address - Country: | US |
Practice Address - Phone: | 786-360-4470 |
Practice Address - Fax: | 786-360-4475 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-03-26 |
Last Update Date: | 2009-03-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | 261Q00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center |