Provider Demographics
NPI:1114282308
Name:MEGA HEALTH CENTER WESTCHESTER INC
Entity Type:Organization
Organization Name:MEGA HEALTH CENTER WESTCHESTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:I
Authorized Official - Last Name:RENTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-592-4445
Mailing Address - Street 1:2700 SW 87TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3242
Mailing Address - Country:US
Mailing Address - Phone:305-592-4445
Mailing Address - Fax:305-592-4464
Practice Address - Street 1:2700 SW 87TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3242
Practice Address - Country:US
Practice Address - Phone:305-592-4445
Practice Address - Fax:305-592-4464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty