Provider Demographics
NPI:1083418412
Name:RAINBOW PHYSICAL THERAPY CENTER LLC
Entity type:Organization
Organization Name:RAINBOW PHYSICAL THERAPY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA CRUZ RIZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-224-0812
Mailing Address - Street 1:4688 PALM AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4036
Mailing Address - Country:US
Mailing Address - Phone:305-224-0812
Mailing Address - Fax:305-224-0697
Practice Address - Street 1:4688 PALM AVE UNIT A
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4036
Practice Address - Country:US
Practice Address - Phone:305-224-0812
Practice Address - Fax:305-224-0697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center