Provider Demographics
NPI:1366039778
Name:HOPE CLINICAL TRIALS INC
Entity Type:Organization
Organization Name:HOPE CLINICAL TRIALS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTIELES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-464-0732
Mailing Address - Street 1:9100 SW 24TH ST STE 8
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2067
Mailing Address - Country:US
Mailing Address - Phone:786-464-0732
Mailing Address - Fax:786-464-0741
Practice Address - Street 1:9100 SW 24TH ST STE 8
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2067
Practice Address - Country:US
Practice Address - Phone:786-464-0732
Practice Address - Fax:786-464-0741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12471OtherAHCA