Provider Demographics
NPI:1821344854
Name:MIAMI JEWISH HEALTH SYSTEMS
Entity Type:Organization
Organization Name:MIAMI JEWISH HEALTH SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. MANAGER BUSINESS SUPPORT
Authorized Official - Prefix:
Authorized Official - First Name:EDGARD
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-758-0021
Mailing Address - Street 1:7415 CORPORATE CENTER DR
Mailing Address - Street 2:BLDG 6, BAY H
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1204
Mailing Address - Country:US
Mailing Address - Phone:305-758-0021
Mailing Address - Fax:305-758-7406
Practice Address - Street 1:7415 CORPORATE CENTER DR
Practice Address - Street 2:BLDG 6, BAY H
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1204
Practice Address - Country:US
Practice Address - Phone:305-758-0021
Practice Address - Fax:305-758-7406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL678933100Medicaid
FL680608200Medicaid
FL020050601Medicaid
FL020050602Medicaid
FL684184800Medicaid