Provider Demographics
NPI:1770255549
Name:VACA IN HOSPITAL ENTERPRISES. INC
Entity Type:Organization
Organization Name:VACA IN HOSPITAL ENTERPRISES. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:E
Authorized Official - Last Name:VACA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-229-0551
Mailing Address - Street 1:8260 W FLAGLER ST STE 2J
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2069
Mailing Address - Country:US
Mailing Address - Phone:305-229-0551
Mailing Address - Fax:
Practice Address - Street 1:8260 W FLAGLER ST STE 2J
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2069
Practice Address - Country:US
Practice Address - Phone:305-229-0551
Practice Address - Fax:305-229-1823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Multi-Specialty