Provider Demographics
NPI:1265226781
Name:AMJ ONE CENTER SERVICES CORP
Entity type:Organization
Organization Name:AMJ ONE CENTER SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IVETTE
Authorized Official - Middle Name:CRISTINE
Authorized Official - Last Name:ESPINOSA FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:728-218-5429
Mailing Address - Street 1:14400 NW 77TH CT STE 103
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1590
Mailing Address - Country:US
Mailing Address - Phone:728-218-5429
Mailing Address - Fax:
Practice Address - Street 1:14400 NW 77TH CT STE 103
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1590
Practice Address - Country:US
Practice Address - Phone:728-218-5429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center