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NPI Code Detail

MEDICARE: MC1SERVICIOS CORP

MEDICARE: MC1SERVICIOS CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1154125524
Entity Type Code : Organization
Provider Name (Legal Business Name) : MC1SERVICIOS CORP
Provider Business Mailing Address
First Line : 3521 NW 172ND TER
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33056-4142
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3521 NW 172ND TER
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33056-4142
Country : US
Telephone Number : 305-333-1895
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : SARAH HUGHES
Credential : DO
Telephone Number : 305-333-1895
Provider Enumeration Date : 04/03/2025
Last Update Date : 04/28/2025

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Directions to “MC1SERVICIOS CORP ” Practice Location

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