Provider Demographics
NPI:1427229962
Name:LETABEL MEDICAL CENTER INC
Entity Type:Organization
Organization Name:LETABEL MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LETYCIA
Authorized Official - Middle Name:DE LA CARIDAD
Authorized Official - Last Name:PLACER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-863-3471
Mailing Address - Street 1:719 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-4553
Mailing Address - Country:US
Mailing Address - Phone:305-863-3471
Mailing Address - Fax:305-863-3493
Practice Address - Street 1:719 E 9TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4553
Practice Address - Country:US
Practice Address - Phone:305-863-3471
Practice Address - Fax:305-863-3493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty