Provider Demographics
NPI:1790968683
Name:MIAMI HEART CENTER INC
Entity Type:Organization
Organization Name:MIAMI HEART CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CUETO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-442-1159
Mailing Address - Street 1:1990 SW 27TH AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2547
Mailing Address - Country:US
Mailing Address - Phone:305-442-1159
Mailing Address - Fax:305-442-0658
Practice Address - Street 1:1990 SW 27TH AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2547
Practice Address - Country:US
Practice Address - Phone:305-442-1159
Practice Address - Fax:305-442-0658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-13
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0060255207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0018SOtherPREFERRED CARE PARTNERS
FL0018SOtherPREFERRED CARE PARTNERS
FLF01852Medicare UPIN