Provider Demographics
NPI:1912331257
Name:HEALTHY REHAB CENTER INC
Entity type:Organization
Organization Name:HEALTHY REHAB CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CORREA VILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-888-3002
Mailing Address - Street 1:900 W 49TH ST
Mailing Address - Street 2:SUITE 505
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3402
Mailing Address - Country:US
Mailing Address - Phone:305-888-3002
Mailing Address - Fax:305-888-3003
Practice Address - Street 1:900 W 49TH ST
Practice Address - Street 2:SUITE 505
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3402
Practice Address - Country:US
Practice Address - Phone:305-888-3002
Practice Address - Fax:305-888-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC8060261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service