Provider Demographics
NPI:1518393826
Name:H-EMERGENCY ROOM V
Entity Type:Organization
Organization Name:H-EMERGENCY ROOM V
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-602-1578
Mailing Address - Street 1:7500 NW 25TH ST
Mailing Address - Street 2:SUITE 258
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1713
Mailing Address - Country:US
Mailing Address - Phone:305-602-1578
Mailing Address - Fax:305-938-0615
Practice Address - Street 1:7500 NW 25TH ST
Practice Address - Street 2:SUITE 258
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1713
Practice Address - Country:US
Practice Address - Phone:305-602-1578
Practice Address - Fax:305-938-0615
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:H-EMERGENCY ROOM V
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-18
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME17400261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center