Provider Demographics
NPI:1457461683
Name:RAMON H MACHADO MEDICAL OFFICE CORP
Entity Type:Organization
Organization Name:RAMON H MACHADO MEDICAL OFFICE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:H
Authorized Official - Last Name:MACHADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-554-8888
Mailing Address - Street 1:10542 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2602
Mailing Address - Country:US
Mailing Address - Phone:305-554-8888
Mailing Address - Fax:305-554-8575
Practice Address - Street 1:10542 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2602
Practice Address - Country:US
Practice Address - Phone:305-554-8888
Practice Address - Fax:305-554-8575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82267208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G78777Medicare UPIN
FLE1163AMedicare ID - Type UnspecifiedINDIVIDUAL PROVIDER