Provider Demographics
NPI:1861726531
Name:FLORES-MARTIN MEDICAL REHABILITAION CENTER, INC.
Entity type:Organization
Organization Name:FLORES-MARTIN MEDICAL REHABILITAION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DUNIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES-MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-639-2673
Mailing Address - Street 1:3900 NW 79TH AVE
Mailing Address - Street 2:SUITE 708
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6556
Mailing Address - Country:US
Mailing Address - Phone:305-639-2673
Mailing Address - Fax:305-639-2674
Practice Address - Street 1:3900 NW 79TH AVE
Practice Address - Street 2:SUITE 708
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6556
Practice Address - Country:US
Practice Address - Phone:305-639-2673
Practice Address - Fax:305-639-2674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA45352261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy