Healthcare Provider Details

I. General information

NPI: 1124036488
Provider Name (Legal Business Name): LLANES MEDICAL SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4343 W FLAGLER ST SUITE 406
CORAL GABLES FL
33134-1586
US

IV. Provider business mailing address

4343 W FLAGLER ST SUITE 406
CORAL GABLES FL
33134-1586
US

V. Phone/Fax

Practice location:
  • Phone: 305-447-6626
  • Fax:
Mailing address:
  • Phone: 305-447-6626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LUIS M POZAS
Title or Position: PRESIDENT
Credential:
Phone: 305-447-6626