Provider Demographics
NPI:1255783973
Name:LAS ESMERALDAS MEDICAL CENTER INC
Entity type:Organization
Organization Name:LAS ESMERALDAS MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALIOSKY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-431-5459
Mailing Address - Street 1:10511 N KENDALL DR
Mailing Address - Street 2:SUITE # C 201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1535
Mailing Address - Country:US
Mailing Address - Phone:786-431-5459
Mailing Address - Fax:305-200-5460
Practice Address - Street 1:10511 N KENDALL DR
Practice Address - Street 2:SUITE # C 201
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1535
Practice Address - Country:US
Practice Address - Phone:786-431-5459
Practice Address - Fax:305-200-5460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-06
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center