Healthcare Provider Details

I. General information

NPI: 1376913053
Provider Name (Legal Business Name): TU SALUD MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2015
Last Update Date: 12/01/2022
Certification Date: 12/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 PARK CENTRE BLVD
MIAMI GARDENS FL
33169-5367
US

IV. Provider business mailing address

900 PARK CENTRE BLVD
MIAMI GARDENS FL
33169-5367
US

V. Phone/Fax

Practice location:
  • Phone: 305-912-8603
  • Fax:
Mailing address:
  • Phone: 305-912-8603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateFL

VIII. Authorized Official

Name: MR. YUNIEL REY DEL TORO
Title or Position: PRESIDENT
Credential:
Phone: 305-912-8603