Provider Demographics
NPI:1396104121
Name:NAMASTE MEDICAL CENTER
Entity type:Organization
Organization Name:NAMASTE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:TOLDEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-326-4947
Mailing Address - Street 1:1055 SW 186 ST
Mailing Address - Street 2:STE 302
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157
Mailing Address - Country:US
Mailing Address - Phone:786-326-4947
Mailing Address - Fax:786-518-3972
Practice Address - Street 1:1055 SW 186 ST
Practice Address - Street 2:STE 302
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157
Practice Address - Country:US
Practice Address - Phone:786-313-3758
Practice Address - Fax:786-518-3972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center