Provider Demographics
NPI:1902058118
Name:LA SALUD MEDICAL & REHAB CENTER, INC.
Entity Type:Organization
Organization Name:LA SALUD MEDICAL & REHAB CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HEBREU
Authorized Official - Middle Name:
Authorized Official - Last Name:DESSALINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-319-2474
Mailing Address - Street 1:8927 HYPOLUXO RD STE A4
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-5249
Mailing Address - Country:US
Mailing Address - Phone:561-429-8202
Mailing Address - Fax:561-429-8203
Practice Address - Street 1:2650 S MILITARY TRL STE 12
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-7506
Practice Address - Country:US
Practice Address - Phone:561-429-8202
Practice Address - Fax:561-429-8203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center