Provider Demographics
NPI:1922078641
Name:METROPOLITAN HEALTH COMMUNITY SERVICES CORPORATION
Entity Type:Organization
Organization Name:METROPOLITAN HEALTH COMMUNITY SERVICES CORPORATION
Other - Org Name:METROPOLITAN HOSPITAL OF MIAMI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:EUGENIO
Authorized Official - Middle Name:
Authorized Official - Last Name:MARINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-265-6400
Mailing Address - Street 1:5959 NW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3129
Mailing Address - Country:US
Mailing Address - Phone:305-264-1000
Mailing Address - Fax:305-265-6403
Practice Address - Street 1:5959 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3129
Practice Address - Country:US
Practice Address - Phone:305-264-1000
Practice Address - Fax:305-265-6403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-25
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4008282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010054400Medicaid
FL010054400Medicaid