Provider Demographics
NPI:1760705024
Name:COMPLETE HEALTHCARE MEDICAL CENTER INC
Entity Type:Organization
Organization Name:COMPLETE HEALTHCARE MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:YANSY
Authorized Official - Middle Name:
Authorized Official - Last Name:IBARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-227-0501
Mailing Address - Street 1:10740 W FLAGLER ST
Mailing Address - Street 2:SUITE4
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-4405
Mailing Address - Country:US
Mailing Address - Phone:305-227-0501
Mailing Address - Fax:305-227-0502
Practice Address - Street 1:10740 W FLAGLER ST
Practice Address - Street 2:SUITE4
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-4405
Practice Address - Country:US
Practice Address - Phone:305-227-0501
Practice Address - Fax:305-227-0502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC8675261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center