Provider Demographics
NPI:1962754143
Name:G & S MEDICAL AND REHABILITATION CENTER INC
Entity type:Organization
Organization Name:G & S MEDICAL AND REHABILITATION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HANDRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARENO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:305-815-3710
Mailing Address - Street 1:11285 SW 211TH ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33189-2211
Mailing Address - Country:US
Mailing Address - Phone:305-815-3710
Mailing Address - Fax:
Practice Address - Street 1:11285 SW 211TH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33189-2211
Practice Address - Country:US
Practice Address - Phone:305-815-3710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC9977261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service