Provider Demographics
NPI:1225139538
Name:NEW HOPE MEDICAL CENTER,INC.
Entity Type:Organization
Organization Name:NEW HOPE MEDICAL CENTER,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ZULAY
Authorized Official - Middle Name:DEL CARMEN
Authorized Official - Last Name:ROIG
Authorized Official - Suffix:
Authorized Official - Credentials:VICE PRECIDENT
Authorized Official - Phone:561-996-0466
Mailing Address - Street 1:241 SE 2ND ST
Mailing Address - Street 2:
Mailing Address - City:BELLE GLADE
Mailing Address - State:FL
Mailing Address - Zip Code:33430-3507
Mailing Address - Country:US
Mailing Address - Phone:561-996-0466
Mailing Address - Fax:561-996-0468
Practice Address - Street 1:241 SE 2ND ST
Practice Address - Street 2:
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-3507
Practice Address - Country:US
Practice Address - Phone:561-996-0466
Practice Address - Fax:561-996-0468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6921170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical GeneticsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK9340OtherPROVIDER NUMBER