Provider Demographics
NPI:1356672711
Name:OCH URGENT CARE CENTER
Entity Type:Organization
Organization Name:OCH URGENT CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:CAMAYD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-320-3292
Mailing Address - Street 1:3900 NW 79TH AVE
Mailing Address - Street 2:SUITE 520
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6556
Mailing Address - Country:US
Mailing Address - Phone:786-320-3292
Mailing Address - Fax:305-436-5554
Practice Address - Street 1:3900 NW 79TH AVE
Practice Address - Street 2:SUITE 520
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6556
Practice Address - Country:US
Practice Address - Phone:786-320-3292
Practice Address - Fax:305-436-5554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-26
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81667261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care