Provider Demographics
NPI:1255387890
Name:HEALING MEDICAL CENTER INC
Entity type:Organization
Organization Name:HEALING MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:MELIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-362-6419
Mailing Address - Street 1:8200 W 33RD AVE
Mailing Address - Street 2:BAY 9
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-5801
Mailing Address - Country:US
Mailing Address - Phone:305-362-6419
Mailing Address - Fax:
Practice Address - Street 1:8200 W 33RD AVE
Practice Address - Street 2:BAY 9
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-5801
Practice Address - Country:US
Practice Address - Phone:305-362-6419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty