Provider Demographics
NPI:1437439791
Name:HIALEAH FOOT CENTER
Entity Type:Organization
Organization Name:HIALEAH FOOT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:EIBER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:305-558-7437
Mailing Address - Street 1:4410 W 16TH AVE
Mailing Address - Street 2:SUITE # 53
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7194
Mailing Address - Country:US
Mailing Address - Phone:305-558-7437
Mailing Address - Fax:305-558-1881
Practice Address - Street 1:4410 W 16TH AVE
Practice Address - Street 2:SUITE # 53
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7194
Practice Address - Country:US
Practice Address - Phone:305-558-7437
Practice Address - Fax:305-558-1881
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR LUIS B EIBER PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-18
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO1534213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty