Provider Demographics
NPI:1164859740
Name:H EMERGENCY ROOM VI CORP
Entity Type:Organization
Organization Name:H EMERGENCY ROOM VI CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-235-2442
Mailing Address - Street 1:1231 SW 74TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-5337
Mailing Address - Country:US
Mailing Address - Phone:786-235-2442
Mailing Address - Fax:
Practice Address - Street 1:1231 SW 74TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-5337
Practice Address - Country:US
Practice Address - Phone:786-235-2442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:H EMERGENCY ROOM VI CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME17400261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center