Provider Demographics
NPI:1225502966
Name:OBGYN HEALTH LLC
Entity Type:Organization
Organization Name:OBGYN HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIO
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ-SOCARRAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-223-6383
Mailing Address - Street 1:5927 SW 70TH ST UNIT 430256
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3527
Mailing Address - Country:US
Mailing Address - Phone:786-223-6383
Mailing Address - Fax:
Practice Address - Street 1:6705 S RED RD STE 612
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3649
Practice Address - Country:US
Practice Address - Phone:888-624-3429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-16
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty