Provider Demographics
NPI:1639860109
Name:FIRST CLASS MEDICAL SERVICES
Entity Type:Organization
Organization Name:FIRST CLASS MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YAILIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-263-1198
Mailing Address - Street 1:12792 SW 45TH DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-6046
Mailing Address - Country:US
Mailing Address - Phone:786-263-1198
Mailing Address - Fax:786-590-2125
Practice Address - Street 1:7200 NW 7TH ST STE 352
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2956
Practice Address - Country:US
Practice Address - Phone:786-263-1198
Practice Address - Fax:786-590-2125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-16
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service