Provider Demographics
NPI:1669414348
Name:HIALEAH HEALTH CENTER INC
Entity type:Organization
Organization Name:HIALEAH HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:E
Authorized Official - Last Name:VINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-493-9598
Mailing Address - Street 1:1046 NE 215TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-1353
Mailing Address - Country:US
Mailing Address - Phone:305-493-9598
Mailing Address - Fax:305-493-9599
Practice Address - Street 1:1046 NE 215TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-1353
Practice Address - Country:US
Practice Address - Phone:305-493-9598
Practice Address - Fax:305-493-9599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6625261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK8666Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER