Healthcare Provider Details

I. General information

NPI: 1821274952
Provider Name (Legal Business Name): MEDCHOICE HEALTH CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2008
Last Update Date: 01/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9380 SW 150TH ST SUITE 100
MIAMI FL
33176-7947
US

IV. Provider business mailing address

8212 W FLAGLER ST
MIAMI FL
33144-2028
US

V. Phone/Fax

Practice location:
  • Phone: 305-253-2665
  • Fax: 305-253-2066
Mailing address:
  • Phone: 305-444-7799
  • Fax: 305-860-8255

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: MR. ALEXANDER TIRADO
Title or Position: PRESIDENT
Credential:
Phone: 305-444-7799