Provider Demographics
NPI:1285027615
Name:CORINTIOS MEDICAL HEALTH CENTER CORP
Entity Type:Organization
Organization Name:CORINTIOS MEDICAL HEALTH CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLARIBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BACALLAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-615-9215
Mailing Address - Street 1:330 SW 27TH AVE STE 703
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2968
Mailing Address - Country:US
Mailing Address - Phone:786-406-4291
Mailing Address - Fax:786-615-9815
Practice Address - Street 1:330 SW 27TH AVE STE 703
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2968
Practice Address - Country:US
Practice Address - Phone:786-406-4291
Practice Address - Fax:786-615-9815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service