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NPI Code Detail

MEDICARE: MERCY SURGICAL & MEDICAL CENTER

MEDICARE: MERCY SURGICAL & MEDICAL CENTER
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
1174400000XSpecialistHCC2996FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HCC2996OTHERFLAHCA HEALTH CARE CLINIC

General Provider Information

NPI Number : 1710006812
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY SURGICAL & MEDICAL CENTER
Provider Business Mailing Address
First Line : 948 E 25TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33013-3404
Country : US
Telephone Number : 305-836-8299
Fax Number : 305-836-8299
Provider Business Practice Location Address
First Line : 948 E 25TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33013-3404
Country : US
Telephone Number : 305-836-8299
Fax Number : 305-836-8299
Authorized Official
Title or Position : PRESIDENT
Name : ERNESTO CARRALERO
Credential :
Telephone Number : 305-836-8299
Provider Enumeration Date : 03/28/2007
Last Update Date : 08/22/2020

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Directions to “MERCY SURGICAL & MEDICAL CENTER ” Practice Location

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