Provider Demographics
NPI:1821348210
Name:CLINICA VENAMER
Entity Type:Organization
Organization Name:CLINICA VENAMER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ISILIO
Authorized Official - Middle Name:
Authorized Official - Last Name:MELEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-442-1040
Mailing Address - Street 1:1757 CORAL WAY
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2728
Mailing Address - Country:US
Mailing Address - Phone:786-442-1040
Mailing Address - Fax:786-567-4475
Practice Address - Street 1:1757 CORAL WAY
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33145-2728
Practice Address - Country:US
Practice Address - Phone:786-442-1040
Practice Address - Fax:786-567-4475
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLINICA VENAMER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty