Healthcare Provider Details
I. General information
NPI: 1558449082
Provider Name (Legal Business Name): RYHC MEDICAL OFFICE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/01/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1800 SW 1ST ST SUTIE 320
MIAMI FL
33135-1960
US
IV. Provider business mailing address
1800 SW 1ST ST SUTIE 320
MIAMI FL
33135-1960
US
V. Phone/Fax
- Phone: 305-300-9213
- Fax:
- Phone: 305-300-9213
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JANICE
CRUZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-300-9213