Provider Demographics
NPI:1548296973
Name:NEW HORIZON REHAB CENTER
Entity type:Organization
Organization Name:NEW HORIZON REHAB CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CELSO
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-882-7778
Mailing Address - Street 1:934 HIALEAH DR
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5541
Mailing Address - Country:US
Mailing Address - Phone:305-882-7778
Mailing Address - Fax:305-882-7779
Practice Address - Street 1:934 HIALEAH DR
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-5541
Practice Address - Country:US
Practice Address - Phone:305-882-7778
Practice Address - Fax:305-882-7779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686841Medicare Oscar/Certification