Provider Demographics
NPI:1912278714
Name:SERVIMED URGENT CARE
Entity Type:Organization
Organization Name:SERVIMED URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:A
Authorized Official - Last Name:MENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-931-1717
Mailing Address - Street 1:8400 NW 25TH STREET SUITE 110
Mailing Address - Street 2:BM:0300732
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122
Mailing Address - Country:US
Mailing Address - Phone:407-931-1717
Mailing Address - Fax:407-931-2121
Practice Address - Street 1:LOCAL B 1,2,3,4,5 CENTRO COMERCIAL PLAYA DORADA
Practice Address - Street 2:
Practice Address - City:PUERTO PLATA
Practice Address - State:PUERTO PLATA
Practice Address - Zip Code:NONE
Practice Address - Country:DO
Practice Address - Phone:809-320-2222
Practice Address - Fax:407-931-2121
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLAYA DORADA MEDICAL CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center