Healthcare Provider Details

I. General information

NPI: 1841621984
Provider Name (Legal Business Name): BROWNSVILLE MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2013
Last Update Date: 01/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 NW 54TH ST
MIAMI FL
33142-2947
US

IV. Provider business mailing address

2525 NW 54TH ST
MIAMI FL
33142-2947
US

V. Phone/Fax

Practice location:
  • Phone: 305-633-9090
  • Fax: 305-633-9383
Mailing address:
  • Phone: 305-633-9090
  • Fax: 305-633-9383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1000X
TaxonomyMigrant Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LOURDES SAURA
Title or Position: DIRECTOR
Credential: M.D.
Phone: 305-633-9090