Provider Demographics
NPI:1649366527
Name:SUDDEN CARE REHAB CENTER INC
Entity type:Organization
Organization Name:SUDDEN CARE REHAB CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-207-1999
Mailing Address - Street 1:2500 SW 107TH AVE STE 46
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2492
Mailing Address - Country:US
Mailing Address - Phone:305-207-1999
Mailing Address - Fax:305-207-1991
Practice Address - Street 1:2500 SW 107TH AVE STE 46
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2492
Practice Address - Country:US
Practice Address - Phone:305-207-1999
Practice Address - Fax:305-207-1991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686796Medicare Oscar/Certification