Provider Demographics
NPI:1841621984
Name:BROWNSVILLE MEDICAL CENTER INC
Entity type:Organization
Organization Name:BROWNSVILLE MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:
Authorized Official - Last Name:SAURA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-633-9090
Mailing Address - Street 1:2525 NW 54TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-2947
Mailing Address - Country:US
Mailing Address - Phone:305-633-9090
Mailing Address - Fax:305-633-9383
Practice Address - Street 1:2525 NW 54TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-2947
Practice Address - Country:US
Practice Address - Phone:305-633-9090
Practice Address - Fax:305-633-9383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-27
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QM1000XAmbulatory Health Care FacilitiesClinic/CenterMigrant Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service