Provider Demographics
NPI:1073937033
Name:REDLAND MEDICAL CENTER INC
Entity Type:Organization
Organization Name:REDLAND MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBAINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-484-4113
Mailing Address - Street 1:19744 SW 177TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-2600
Mailing Address - Country:US
Mailing Address - Phone:786-484-4113
Mailing Address - Fax:305-258-6071
Practice Address - Street 1:19744 SW 177TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33187-2600
Practice Address - Country:US
Practice Address - Phone:786-484-4113
Practice Address - Fax:305-258-6071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-11
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center