Healthcare Provider Details

I. General information

NPI: 1730597436
Provider Name (Legal Business Name): TOIRAC MEDICAL SERVICES, CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2014
Last Update Date: 07/06/2020
Certification Date: 07/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 NW 15TH ST STE 101
HOMESTEAD FL
33030-4267
US

IV. Provider business mailing address

15455 SW 80TH ST APT 205
MIAMI FL
33193-2615
US

V. Phone/Fax

Practice location:
  • Phone: 786-515-9771
  • Fax:
Mailing address:
  • Phone: 786-801-8253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOEL GONZALEZ
Title or Position: PRESIDENT
Credential: M.D.
Phone: 786-801-8253