Healthcare Provider Details

I. General information

NPI: 1861636383
Provider Name (Legal Business Name): LA ESPERANZA MEDICAL CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2009
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7911 NW 72ND AVE STE 109A-B
MEDLEY FL
33166-2227
US

IV. Provider business mailing address

7911 NW 72ND AVE STE 109AB
MEDLEY FL
33166-2227
US

V. Phone/Fax

Practice location:
  • Phone: 305-887-1005
  • Fax: 305-887-1092
Mailing address:
  • Phone: 305-716-0964
  • Fax: 305-716-0965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: AYMEE MUNERO
Title or Position: OWNER
Credential:
Phone: 305-887-1005