Provider Demographics
NPI:1487778478
Name:RIOS REHAB CENTER LLC
Entity type:Organization
Organization Name:RIOS REHAB CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FABIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LUMAPAS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:352-212-1982
Mailing Address - Street 1:PO BOX 252
Mailing Address - Street 2:
Mailing Address - City:LECANTO
Mailing Address - State:FL
Mailing Address - Zip Code:34460-0252
Mailing Address - Country:US
Mailing Address - Phone:352-220-2653
Mailing Address - Fax:352-527-4465
Practice Address - Street 1:11 S MELBOURNE ST
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:FL
Practice Address - Zip Code:34465-3664
Practice Address - Country:US
Practice Address - Phone:352-527-9939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-17
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT7073225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1447394473OtherFABIAN LUMAPAS' NPI #