Provider Demographics
NPI:1902163231
Name:TRIAL REHAB GROUP CORPORATION
Entity Type:Organization
Organization Name:TRIAL REHAB GROUP CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:305-313-3508
Mailing Address - Street 1:1830 NW 7 STREET SUITE 229
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125
Mailing Address - Country:US
Mailing Address - Phone:786-313-3508
Mailing Address - Fax:
Practice Address - Street 1:1830 NW 7TH ST STE 229
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3562
Practice Address - Country:US
Practice Address - Phone:786-313-3508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty