Provider Demographics
NPI:1043640170
Name:D & S CHIRO REHAB CENTER, INC
Entity type:Organization
Organization Name:D & S CHIRO REHAB CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DELFI
Authorized Official - Middle Name:M
Authorized Official - Last Name:MONTEAGUDO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-200-5331
Mailing Address - Street 1:3901 NW 79TH AVE
Mailing Address - Street 2:SUITE 122
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6508
Mailing Address - Country:US
Mailing Address - Phone:305-200-5331
Mailing Address - Fax:305-953-7071
Practice Address - Street 1:3901 NW 79TH AVE
Practice Address - Street 2:SUITE 122
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6508
Practice Address - Country:US
Practice Address - Phone:305-200-5331
Practice Address - Fax:305-953-7071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-27
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center