Healthcare Provider Details

I. General information

NPI: 1922069137
Provider Name (Legal Business Name): MEDCHOICE HEALTH CENTERS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 12/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8212 W FLAGLER ST
MIAMI FL
33144-2028
US

IV. Provider business mailing address

8212 W FLAGLER ST
MIAMI FL
33144-2028
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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