Provider Demographics
NPI:1578895082
Name:NEW START DIALYSIS CENTER, INC.
Entity Type:Organization
Organization Name:NEW START DIALYSIS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIPE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES HERNANDEZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:786-863-8805
Mailing Address - Street 1:900 NE 125TH ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5745
Mailing Address - Country:US
Mailing Address - Phone:786-863-8805
Mailing Address - Fax:
Practice Address - Street 1:900 NE 125TH ST
Practice Address - Street 2:SUITE 210
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5745
Practice Address - Country:US
Practice Address - Phone:786-863-8805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL682513Medicare Oscar/Certification