Provider Demographics
NPI:1295150878
Name:AVENTURA MEDICAL PROFESSIONALS
Entity type:Organization
Organization Name:AVENTURA MEDICAL PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EVA
Authorized Official - Middle Name:ISABEL
Authorized Official - Last Name:PIZARRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-749-6653
Mailing Address - Street 1:17101 NE 19TH AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-3159
Mailing Address - Country:US
Mailing Address - Phone:305-749-6653
Mailing Address - Fax:305-749-6738
Practice Address - Street 1:17101 NE 19TH AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-3159
Practice Address - Country:US
Practice Address - Phone:305-749-6653
Practice Address - Fax:305-749-6738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-19
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care