Provider Demographics
NPI:1285930966
Name:TRI-COUNTY REHABILITATION INC
Entity type:Organization
Organization Name:TRI-COUNTY REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CARIDAD
Authorized Official - Middle Name:M
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-331-9760
Mailing Address - Street 1:1414 NW 107TH AVE
Mailing Address - Street 2:301
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-2732
Mailing Address - Country:US
Mailing Address - Phone:786-331-9760
Mailing Address - Fax:786-331-9761
Practice Address - Street 1:1414 NW 107TH AVE
Practice Address - Street 2:301
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-2732
Practice Address - Country:US
Practice Address - Phone:786-331-9760
Practice Address - Fax:786-331-9761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-28
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation