Provider Demographics
NPI:1154370716
Name:BELTRAN REHABILITATION CENTER INC
Entity type:Organization
Organization Name:BELTRAN REHABILITATION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:FERNANDA
Authorized Official - Last Name:SALVADOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-223-2771
Mailing Address - Street 1:10500 NW 26TH ST STE A102A
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-2158
Mailing Address - Country:US
Mailing Address - Phone:305-646-1799
Mailing Address - Fax:305-675-7992
Practice Address - Street 1:10500 NW 26TH ST STE A102A
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-2158
Practice Address - Country:US
Practice Address - Phone:305-646-1799
Practice Address - Fax:305-675-7992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6715261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686827Medicare ID - Type Unspecified