Provider Demographics
NPI:1609270537
Name:GASIEL MEDICAL SERVICES CORP
Entity Type:Organization
Organization Name:GASIEL MEDICAL SERVICES CORP
Other - Org Name:GASIEL URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HILARIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:ISABA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-801-3601
Mailing Address - Street 1:8900 CORAL WAY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2075
Mailing Address - Country:US
Mailing Address - Phone:786-801-3601
Mailing Address - Fax:786-801-3602
Practice Address - Street 1:8900 CORAL WAY
Practice Address - Street 2:SUITE 203
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2075
Practice Address - Country:US
Practice Address - Phone:786-801-3601
Practice Address - Fax:786-801-3602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-21
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care