MEDICARE: PINK ROSES 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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1366174096
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINK ROSES MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	1850 SW 8TH ST STE 307
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-3435
Country	:	US
Telephone Number	:	786-318-0744
Fax Number	:

Provider Business Practice Location Address
First Line	:	1850 SW 8TH ST STE 307
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-3435
Country	:	US
Telephone Number	:	786-318-0744
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. EUGENIO ALXIDES HERNANDEZ
Credential	:
Telephone Number	:	786-318-0744

Provider Enumeration Date	:	06/30/2022
Last Update Date	:	06/30/2022

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Directions to “PINK ROSES MEDICAL CENTER INC ” Practice Location

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