Provider Demographics
NPI:1255640249
Name:COMPLETE MEDICAL CENTER INC
Entity type:Organization
Organization Name:COMPLETE MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEIVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-982-8444
Mailing Address - Street 1:55W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010
Mailing Address - Country:US
Mailing Address - Phone:305-982-8444
Mailing Address - Fax:305-415-8305
Practice Address - Street 1:55 W 3RD ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4727
Practice Address - Country:US
Practice Address - Phone:305-982-8444
Practice Address - Fax:305-415-8305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-24
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty