Healthcare Provider Details

I. General information

NPI: 1710982236
Provider Name (Legal Business Name): HEALTH SERVICES OF MIAMI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 11/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2319 W 76TH ST
HIALEAH FL
33016-1842
US

IV. Provider business mailing address

2319 W 76TH ST
HIALEAH FL
33016-1842
US

V. Phone/Fax

Practice location:
  • Phone: 305-557-3159
  • Fax: 305-558-0701
Mailing address:
  • Phone: 305-557-3159
  • Fax: 305-558-0701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number5047B2
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH13111
License Number StateFL

VIII. Authorized Official

Name: MR. GILBERTO PINTO
Title or Position: PRESIDENT
Credential:
Phone: 305-557-3159