Healthcare Provider Details

I. General information

NPI: 1033376819
Provider Name (Legal Business Name): OASIS MEDICAL CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 05/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8150 SW 8TH ST #118
MIAMI FL
33144-4263
US

IV. Provider business mailing address

8150 SW 8TH ST #118
MIAMI FL
33144-4263
US

V. Phone/Fax

Practice location:
  • Phone: 305-261-3020
  • Fax: 305-261-3070
Mailing address:
  • Phone: 305-261-3020
  • Fax: 305-261-3070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number StateFL

VIII. Authorized Official

Name: MR. FELIPE AGUILAR
Title or Position: OWNER
Credential:
Phone: 305-261-3020