OrganizationWest Kendall Rehab, Inc.Clinic/CenterAmbulatory Health Care FacilitiesPractice Address4445 W 16th Ave Ste 505, Hialeah, FL 33012-2960(305) 512-1717PECOS EnrollmentBased on the most recent information from CMS, provider West Kendall Rehab, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1487943619Provider TypeOrganizationFull NameWest Kendall Rehab, Inc.SubpartNoEnumeration Date3/28/2011Last Updated3/28/2011Contact InformationPractice LocationPractice Address4445 W 16th Ave Ste 505, Hialeah, FL 33012-2960Phone(305) 512-1717Fax(305) 512-1713Mailing LocationMailing Address4445 W 16th Ave Ste 505, Hialeah, FL 33012-2960Phone(305) 512-1717Fax(305) 512-1713Authorized OfficialNameFernandez, Inti (President)Phone(305) 512-1717Provider TaxonomiesCodeDescriptionLicenseCode261Q00000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseME97323FloridaProvider IdentifiersIDDescriptionIssuerID1831235043DescriptionOtherIssuerORGANIZATIONFlorida