Healthcare Provider Details

I. General information

NPI: 1750988812
Provider Name (Legal Business Name): ANGELES MEDICAL CENTER,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2020
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7360 SW 24TH ST STE 16
MIAMI FL
33155-1482
US

IV. Provider business mailing address

7360 SW 24TH ST STE 16
MIAMI FL
33155-1482
US

V. Phone/Fax

Practice location:
  • Phone: 305-414-8128
  • Fax: 305-509-7840
Mailing address:
  • Phone: 305-414-8128
  • Fax: 305-509-7840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. HORACIO J PEREZ
Title or Position: OWNER
Credential:
Phone: 786-329-0916