Provider Demographics
NPI:1528856937
Name:REM CLINIC LLC
Entity type:Organization
Organization Name:REM CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YUNAISY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-380-7163
Mailing Address - Street 1:10281 SW 72 STREET
Mailing Address - Street 2:1ST FLOOR, SUITE # 104
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173
Mailing Address - Country:US
Mailing Address - Phone:786-254-7871
Mailing Address - Fax:305-675-7717
Practice Address - Street 1:10281 SW 72 STREET
Practice Address - Street 2:1ST FLOOR, SUITE # 104
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173
Practice Address - Country:US
Practice Address - Phone:786-254-7871
Practice Address - Fax:305-675-7717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty