Provider Demographics
NPI:1013755248
Name:ALL STATE MEDICAL SOLUTIONS INC
Entity type:Organization
Organization Name:ALL STATE MEDICAL SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUAN MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORENO DE LEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-238-7063
Mailing Address - Street 1:10300 SUNSET DR STE 310A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3015
Mailing Address - Country:US
Mailing Address - Phone:786-238-7063
Mailing Address - Fax:
Practice Address - Street 1:10300 SUNSET DR STE 310A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3015
Practice Address - Country:US
Practice Address - Phone:786-238-7063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-20
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty