Provider Demographics
NPI:1013442698
Name:GIRALDILLA MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:GIRALDILLA MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:LUZARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-588-4184
Mailing Address - Street 1:3380 NW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-4104
Mailing Address - Country:US
Mailing Address - Phone:786-588-4184
Mailing Address - Fax:305-508-4302
Practice Address - Street 1:3380 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-4104
Practice Address - Country:US
Practice Address - Phone:786-588-4184
Practice Address - Fax:305-508-4302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty