Provider Demographics
NPI:1568631638
Name:HEALTH MEDICAL CENTER OF MIAMI INC
Entity Type:Organization
Organization Name:HEALTH MEDICAL CENTER OF MIAMI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CLEMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ATIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-545-0966
Mailing Address - Street 1:868 SW 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1208
Mailing Address - Country:US
Mailing Address - Phone:305-545-0966
Mailing Address - Fax:
Practice Address - Street 1:868 SW 1ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1208
Practice Address - Country:US
Practice Address - Phone:305-545-0966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center