Provider Demographics
NPI:1275129959
Name:MAJO HEALTH SERVICE CORP
Entity Type:Organization
Organization Name:MAJO HEALTH SERVICE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:LEYDA
Authorized Official - Middle Name:DE LA CARIDAD
Authorized Official - Last Name:DIAZ ANDRADE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:305-305-7195
Mailing Address - Street 1:8420 W FLAGLER ST STE 217
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2064
Mailing Address - Country:US
Mailing Address - Phone:786-558-9191
Mailing Address - Fax:786-535-4980
Practice Address - Street 1:8420 W FLAGLER ST STE 217
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2064
Practice Address - Country:US
Practice Address - Phone:786-558-9191
Practice Address - Fax:786-535-4980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty