Provider Demographics
NPI:1952983314
Name:CIMA COMMUNITY REHABILITATION INC
Entity Type:Organization
Organization Name:CIMA COMMUNITY REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAYAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-256-8990
Mailing Address - Street 1:14750 NW 77TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1510
Mailing Address - Country:US
Mailing Address - Phone:786-256-8990
Mailing Address - Fax:
Practice Address - Street 1:14750 NW 77TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1510
Practice Address - Country:US
Practice Address - Phone:786-256-8990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP21000030948OtherLICENSE