Provider Demographics
NPI:1053505073
Name:X-PRESS MD LLC
Entity Type:Organization
Organization Name:X-PRESS MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-562-1265
Mailing Address - Street 1:3500 CORAL WAY
Mailing Address - Street 2:SUITE # 102
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3063
Mailing Address - Country:US
Mailing Address - Phone:786-238-2170
Mailing Address - Fax:305-444-7509
Practice Address - Street 1:3500 CORAL WAY
Practice Address - Street 2:SUITE #101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-3063
Practice Address - Country:US
Practice Address - Phone:786-238-2170
Practice Address - Fax:305-444-7509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-03
Last Update Date:2010-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAJ918Medicare PIN