Provider Demographics
NPI:1699873919
Name:REH OF DADE, INC
Entity type:Organization
Organization Name:REH OF DADE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-887-0857
Mailing Address - Street 1:435 HIALEAH DR
Mailing Address - Street 2:# 4
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5358
Mailing Address - Country:US
Mailing Address - Phone:305-887-0857
Mailing Address - Fax:305-887-0859
Practice Address - Street 1:435 HIALEAH DR
Practice Address - Street 2:# 4
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-5358
Practice Address - Country:US
Practice Address - Phone:305-887-0857
Practice Address - Fax:305-887-0859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty