Provider Demographics
NPI:1861636383
Name:LA ESPERANZA MEDICAL CENTERS INC
Entity Type:Organization
Organization Name:LA ESPERANZA MEDICAL CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AYMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-887-1005
Mailing Address - Street 1:7911 NW 72ND AVE STE 109AB
Mailing Address - Street 2:
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33166-2227
Mailing Address - Country:US
Mailing Address - Phone:305-716-0964
Mailing Address - Fax:305-716-0965
Practice Address - Street 1:7911 NW 72ND AVE STE 109A-B
Practice Address - Street 2:
Practice Address - City:MEDLEY
Practice Address - State:FL
Practice Address - Zip Code:33166-2227
Practice Address - Country:US
Practice Address - Phone:305-887-1005
Practice Address - Fax:305-887-1092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-28
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty