MEDICARE: MAZEL 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	2471M1202X	Magnetic Resonance Imaging Radiologic Technologist	HCC11343	FL

General Provider Information

NPI Number	:	1952890634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAZEL MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	8150 SW 8TH ST STE 119
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4275
Country	:	US
Telephone Number	:	305-261-3020
Fax Number	:	305-261-3070

Provider Business Practice Location Address
First Line	:	8150 SW 8TH ST STE 119
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4275
Country	:	US
Telephone Number	:	305-261-3020
Fax Number	:	305-261-3070

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. GREGORIO ZUAZU
Credential	:	MD
Telephone Number	:	713-542-4522

Provider Enumeration Date	:	05/08/2018
Last Update Date	:	05/08/2018

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