OrganizationBlue Angel Rehab, Inc.Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2240 NE 42nd Cir, Homestead, FL 33033-6611(786) 253-4870PECOS EnrollmentBased on the most recent information from CMS, provider Blue Angel 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 yesterday at 12:57 PM.Profile DetailsProvider ID1588192140Provider TypeOrganizationFull NameBlue Angel Rehab, Inc.SubpartNoEnumeration Date5/26/2017Last Updated5/26/2017Contact InformationPractice LocationPractice Address2240 NE 42nd Cir, Homestead, FL 33033-6611Phone(786) 253-4870FaxUnlisted FaxMailing LocationMailing Address2240 NE 42nd Cir, Homestead, FL 33033-6611PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameLopez, Reinier (Owner)Phone(786) 253-4870Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer