Healthcare Provider Details

I. General information

NPI: 1841561644
Provider Name (Legal Business Name): BME PROFESSIONAL HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2012
Last Update Date: 06/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2387 W 68TH ST STE 502
HIALEAH FL
33016-6890
US

IV. Provider business mailing address

2387 W 68TH ST STE 502
HIALEAH FL
33016-6890
US

V. Phone/Fax

Practice location:
  • Phone: 786-313-3200
  • Fax:
Mailing address:
  • Phone: 786-313-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JORGE L ESPINOSA
Title or Position: PRESIDENT
Credential: LMT
Phone: 786-313-3200