Provider Demographics
NPI:1265205686
Name:A&B COMMUNITY MEDICAL CENTER,LLC
Entity type:Organization
Organization Name:A&B COMMUNITY MEDICAL CENTER,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:URQUIAGA HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-219-8137
Mailing Address - Street 1:777 NW 72ND AVE STE 1053
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3173
Mailing Address - Country:US
Mailing Address - Phone:786-907-4557
Mailing Address - Fax:786-907-4558
Practice Address - Street 1:772 NW 72ND AVE
Practice Address - Street 2:SUITE 1053
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126
Practice Address - Country:US
Practice Address - Phone:786-907-4557
Practice Address - Fax:786-907-4558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)