Provider Demographics
NPI:1609266790
Name:UNICARDIO MEDICAL CENTER CORP
Entity Type:Organization
Organization Name:UNICARDIO MEDICAL CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALDO
Authorized Official - Middle Name:HERIBERTO
Authorized Official - Last Name:MARTINEZ FLEITES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-456-5621
Mailing Address - Street 1:61 GRAND CANAL DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2554
Mailing Address - Country:US
Mailing Address - Phone:305-456-5621
Mailing Address - Fax:305-646-1134
Practice Address - Street 1:61 GRAND CANAL DR STE 200
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2554
Practice Address - Country:US
Practice Address - Phone:305-456-5621
Practice Address - Fax:305-646-1134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-28
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty