Organization

Fernando Rivabem Medical And Rehab Center

Clinic/Center in Miami, FL(View on Map)

Legal Business Name

Fernando Rivabem Medical And Rehab Center

NPI Number

1013392158

NPI Type

Organization

Enumeration Date

07/29/2015

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME79774

Contact
Information

Purpose

Mailing
Location

Address

8660 W FLAGLER ST
8660 W FLAGLER ST

City

Miami
Miami

State

FL
FL

Postal Code

33144-2031
33144-2031

Country

US
US

Telephone Number

(305) 303-2917
(305) 303-2917

Authorized Official

Name

Fernando Rivabem

Title or Position

OWNER

Telephone Number

(305) 303-2917

Identifiers

Identifier

ME79774

Identifier State

FL

Identifier Issuer

MEDICAL LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/29/2015

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