Provider Demographics
NPI:1669040523
Name:SMART CHOICE MED CENTER, CORP
Entity Type:Organization
Organization Name:SMART CHOICE MED CENTER, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:QUENSY
Authorized Official - Middle Name:
Authorized Official - Last Name:PINO SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:MA80022
Authorized Official - Phone:305-301-6677
Mailing Address - Street 1:540 NW 165TH STREET RD # C301
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-6304
Mailing Address - Country:US
Mailing Address - Phone:053-016-6773
Mailing Address - Fax:
Practice Address - Street 1:540 NW 165TH STREET RD # C301
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-6304
Practice Address - Country:US
Practice Address - Phone:053-016-6773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy