Provider Demographics
NPI:1942671862
Name:WHITE DIAMOND CENTER CORP.
Entity Type:Organization
Organization Name:WHITE DIAMOND CENTER CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:ESPINOSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-897-0721
Mailing Address - Street 1:2260 SW 8TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-4938
Mailing Address - Country:US
Mailing Address - Phone:305-897-0721
Mailing Address - Fax:305-914-4327
Practice Address - Street 1:2260 SW 8TH ST STE 300
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-4938
Practice Address - Country:US
Practice Address - Phone:305-897-0721
Practice Address - Fax:305-914-4327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME116074261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty