Provider Demographics
NPI:1700568797
Name:HIPPOCRATES MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:HIPPOCRATES MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:YUNIOR
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:305-484-2268
Mailing Address - Street 1:12260 SW 8TH ST STE 232
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-1549
Mailing Address - Country:US
Mailing Address - Phone:786-622-1433
Mailing Address - Fax:786-655-6108
Practice Address - Street 1:12260 SW 8TH ST STE 232
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-1549
Practice Address - Country:US
Practice Address - Phone:786-622-1433
Practice Address - Fax:786-655-6108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center