MEDICARE: A'S MEDICAL CENTER INC

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
1	261Q00000X	Clinic/Center	K8288	FL

General Provider Information

NPI Number	:	1235173063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A'S MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	3850 SW 87TH AVE
Second Line	:	SUITE 201
City	:	MIAMI
State	:	FL
Zip	:	33165-5400
Country	:	US
Telephone Number	:	305-551-5040
Fax Number	:	305-551-5024

Provider Business Practice Location Address
First Line	:	3850 SW 87TH AVE
Second Line	:	SUITE 201
City	:	MIAMI
State	:	FL
Zip	:	33165-5400
Country	:	US
Telephone Number	:	305-551-5040
Fax Number	:	305-551-5024

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. JOSE A MARQUEZ
Credential	:	MD
Telephone Number	:	305-551-5040

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	09/17/2007

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