Provider Demographics
NPI:1578003125
Name:WESTCHESTER MEDICAL CENTER CORP
Entity Type:Organization
Organization Name:WESTCHESTER MEDICAL CENTER CORP
Other - Org Name:WESTCHESTER MEDICAL CENTER CORP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:PROF
Authorized Official - First Name:YOANDRY
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:ESPINOSA
Authorized Official - Suffix:I
Authorized Official - Credentials:OWNER
Authorized Official - Phone:305-960-7937
Mailing Address - Street 1:939 SW 87TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-3206
Mailing Address - Country:US
Mailing Address - Phone:305-960-7937
Mailing Address - Fax:305-960-7931
Practice Address - Street 1:939 SW 87TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-3206
Practice Address - Country:US
Practice Address - Phone:305-960-7937
Practice Address - Fax:305-960-7931
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WESTCHESTER MEDICAL CENTER CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-03-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center