Provider Demographics
NPI:1710982236
Name:HEALTH SERVICES OF MIAMI
Entity Type:Organization
Organization Name:HEALTH SERVICES OF MIAMI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GILBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:PINTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-557-3159
Mailing Address - Street 1:2319 W 76TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1842
Mailing Address - Country:US
Mailing Address - Phone:305-557-3159
Mailing Address - Fax:305-558-0701
Practice Address - Street 1:2319 W 76TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1842
Practice Address - Country:US
Practice Address - Phone:305-557-3159
Practice Address - Fax:305-558-0701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-21
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5047B2332B00000X
FLPH13111333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL8270106OtherEVERCARE AT HOME
R4740OtherBLUE CROSS BLUE SHIELD FL
FL8270106OtherEVERCARE AT HOME