Provider Demographics
NPI:1346801834
Name:MEDICAL CENTERS OF MIAMI LLC
Entity Type:Organization
Organization Name:MEDICAL CENTERS OF MIAMI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:GARCES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-453-9803
Mailing Address - Street 1:6600 COW PEN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-7618
Mailing Address - Country:US
Mailing Address - Phone:786-453-9803
Mailing Address - Fax:786-472-8921
Practice Address - Street 1:6600 COW PEN RD STE 100
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-7618
Practice Address - Country:US
Practice Address - Phone:786-453-9803
Practice Address - Fax:786-472-8921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-25
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty