Provider Demographics
NPI:1124886510
Name:RINCON, REBEKA (PT,DPT)
Entity type:Individual
Prefix:
First Name:REBEKA
Middle Name:
Last Name:RINCON
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5875 SW 74TH TER APT 27
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5241
Mailing Address - Country:US
Mailing Address - Phone:301-653-6640
Mailing Address - Fax:
Practice Address - Street 1:8030 NE 5TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138-4510
Practice Address - Country:US
Practice Address - Phone:786-703-3908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL41273225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist