Provider Demographics
NPI:1285842575
Name:S AND B MEDICAL CENTER INC
Entity Type:Organization
Organization Name:S AND B MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTOYA
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:305-226-3214
Mailing Address - Street 1:11373 W FLAGLER ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-4203
Mailing Address - Country:US
Mailing Address - Phone:305-226-3214
Mailing Address - Fax:305-226-3264
Practice Address - Street 1:11373 W FLAGLER ST
Practice Address - Street 2:SUITE 204
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-4203
Practice Address - Country:US
Practice Address - Phone:305-226-3214
Practice Address - Fax:305-226-3264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM19546225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty