Provider Demographics
NPI:1043482946
Name:SF REHAB INC
Entity type:Organization
Organization Name:SF REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:IGLESIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-253-1171
Mailing Address - Street 1:555 E 25TH ST
Mailing Address - Street 2:STE 222
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-3848
Mailing Address - Country:US
Mailing Address - Phone:305-691-6230
Mailing Address - Fax:305-691-6231
Practice Address - Street 1:555 E 25TH ST
Practice Address - Street 2:STE 222
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3848
Practice Address - Country:US
Practice Address - Phone:305-691-6230
Practice Address - Fax:305-691-6231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty