Provider Demographics
NPI:1386654481
Name:RCM MEDICAL CENTER INC
Entity type:Organization
Organization Name:RCM MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-273-6311
Mailing Address - Street 1:527 EAST 9TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010
Mailing Address - Country:US
Mailing Address - Phone:305-889-0434
Mailing Address - Fax:305-889-0471
Practice Address - Street 1:527 EAST 9TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010
Practice Address - Country:US
Practice Address - Phone:305-889-0434
Practice Address - Fax:305-889-0471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
K9854Medicare ID - Type Unspecified