| Kendall South Rehab Inc | |
|
4689 Ponce De Leon Blvd Ste 200 Coral Gables FL 33146-2133 | |
| (786) 803-8025 | |
| (213) 832-3211 |
| Full Name | Kendall South Rehab Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4689 Ponce De Leon Blvd Ste 200, Coral Gables, Florida |
| Authorized Official Name and Position | Ileana Natividad Arce Sarmientos (PRESIDENT) |
| Authorized Official Contact | 7868038025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kendall South Rehab Inc 4689 Ponce De Leon Blvd Ste 200 Coral Gables FL 33146-2133 Ph: (786) 803-8025 | Kendall South Rehab Inc 4689 Ponce De Leon Blvd Ste 200 Coral Gables FL 33146-2133 Ph: (786) 803-8025 |
| NPI Number | 1275143372 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 09/24/2025 |
| Medicare PECOS PAC ID | 4587083217 |
|---|---|
| Medicare Enrollment ID | O20200930001330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275143372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Diamina Molina Vidal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861970428 PECOS PAC ID: 0143568626 Enrollment ID: I20190207001164 |
| Provider Name | Francisco A Almagro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487812525 PECOS PAC ID: 6507201613 Enrollment ID: I20240229000165 |
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