Healthcare Provider Details

I. General information

NPI: 1700867488
Provider Name (Legal Business Name): DIGESTIVE MEDICINE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 04/15/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 W 68TH ST SUITE 300
HIALEAH FL
33016-1815
US

IV. Provider business mailing address

2140 W 68TH ST SUITE 305
HIALEAH FL
33016-1815
US

V. Phone/Fax

Practice location:
  • Phone: 305-822-4107
  • Fax: 305-822-5086
Mailing address:
  • Phone: 305-822-4107
  • Fax: 305-822-5086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANCISCO MADERAL
Title or Position: OWNER/OPERATOR
Credential: M.D.
Phone: 305-822-4108