Provider Demographics
NPI:1760958227
Name:INTERNATIONAL MEDICAL CENTER TMCS
Entity Type:Organization
Organization Name:INTERNATIONAL MEDICAL CENTER TMCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLAIM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RENATE
Authorized Official - Middle Name:
Authorized Official - Last Name:MACHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-903-7445
Mailing Address - Street 1:PO BOX 39192
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339-9192
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:AVE ESPANA, PLAZA BRISAS DE BAVARO
Practice Address - Street 2:UNITE 502-504
Practice Address - City:BAVARO
Practice Address - State:PUNTA CANA
Practice Address - Zip Code:99999
Practice Address - Country:DO
Practice Address - Phone:809-552-1117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty