Provider Demographics
NPI:1760994727
Name:ROYAL MEDICAL CENTER, CORP
Entity Type:Organization
Organization Name:ROYAL MEDICAL CENTER, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:R
Authorized Official - Last Name:FACENDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-640-5538
Mailing Address - Street 1:13373 SW 42ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3204
Mailing Address - Country:US
Mailing Address - Phone:305-640-5538
Mailing Address - Fax:305-418-0346
Practice Address - Street 1:13373 SW 42ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3204
Practice Address - Country:US
Practice Address - Phone:305-640-5538
Practice Address - Fax:305-418-0346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-31
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty