Provider Demographics
NPI:1225577414
Name:CALIDAD MEDICAL CENTER INC
Entity Type:Organization
Organization Name:CALIDAD MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LLAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-927-1392
Mailing Address - Street 1:1825 PONCE DE LEON BLVD STE 191
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4418
Mailing Address - Country:US
Mailing Address - Phone:305-927-1392
Mailing Address - Fax:305-927-1393
Practice Address - Street 1:1825 PONCE DE LEON BLVD STE 191
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4418
Practice Address - Country:US
Practice Address - Phone:305-927-1392
Practice Address - Fax:305-927-1393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty