Healthcare Provider Details

I. General information

NPI: 1316065162
Provider Name (Legal Business Name): MVP CARDIOVASCULAR SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7171 SW 62ND AVE SUITE 301
SOUTH MIAMI FL
33143-4723
US

IV. Provider business mailing address

7171 SW 62 AVENUE SUITE 301
MIAMI FL
33143
US

V. Phone/Fax

Practice location:
  • Phone: 305-667-5878
  • Fax: 305-668-5763
Mailing address:
  • Phone: 305-667-5878
  • Fax: 305-668-5763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROSANA MEIRELES
Title or Position: OFFICE MANAGER
Credential:
Phone: 305-667-5878