Healthcare Provider Details

I. General information

NPI: 1114970902
Provider Name (Legal Business Name): RCM MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 E 9TH ST SUITE #2
HIALEAH FL
33010
US

IV. Provider business mailing address

527 E 9TH ST SUITE #2
HIALEAH FL
33010
US

V. Phone/Fax

Practice location:
  • Phone: 305-889-0434
  • Fax: 305-889-0471
Mailing address:
  • Phone: 305-889-0434
  • Fax: 305-889-0471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: ROSELL GORDILLO
Title or Position: PRESIDENT
Credential:
Phone: 305-889-0434