Provider Demographics
NPI:1285137471
Name:GABLES THERAPY & WELLNESS CENTER
Entity type:Organization
Organization Name:GABLES THERAPY & WELLNESS CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:E
Authorized Official - Last Name:VINALS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:305-342-4270
Mailing Address - Street 1:126 MADEIRA AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4516
Mailing Address - Country:US
Mailing Address - Phone:305-342-4270
Mailing Address - Fax:
Practice Address - Street 1:126 MADEIRA AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4516
Practice Address - Country:US
Practice Address - Phone:305-342-4270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-14
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT22557225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty