Healthcare Provider Details

I. General information

NPI: 1538146675
Provider Name (Legal Business Name): EZ HEALTH MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

737 E 10TH ST
HIALEAH FL
33010-3635
US

IV. Provider business mailing address

737 EAST 10 STREET 737 EAST 10 STREET
HIALEAH FL
33010
US

V. Phone/Fax

Practice location:
  • Phone: 305-888-7378
  • Fax: 305-888-7698
Mailing address:
  • Phone: 305-888-7378
  • Fax: 305-888-7698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number684891
License Number StateFL

VIII. Authorized Official

Name: LEONEL DIAZ PAIROL
Title or Position: CEO
Credential:
Phone: 786-370-9697