Provider Demographics
NPI:1740590132
Name:AA FAMILY MEDICAL CENTER INC
Entity Type:Organization
Organization Name:AA FAMILY MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-933-2303
Mailing Address - Street 1:20445 BISCAYNE BLVD
Mailing Address - Street 2:SUITE H1
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1526
Mailing Address - Country:US
Mailing Address - Phone:305-933-2303
Mailing Address - Fax:305-936-1196
Practice Address - Street 1:20445 BISCAYNE BLVD
Practice Address - Street 2:SUITE H1
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-1526
Practice Address - Country:US
Practice Address - Phone:305-933-2303
Practice Address - Fax:305-936-1196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-19
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty