Healthcare Provider Details

I. General information

NPI: 1336150176
Provider Name (Legal Business Name): GM HEALTHCARE PROVIDERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 07/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6254 SW 8TH ST SUIT 6
WEST MIAMI FL
33144-4800
US

IV. Provider business mailing address

6254 SW 8TH ST SUIT 6
WEST MIAMI FL
33144-4800
US

V. Phone/Fax

Practice location:
  • Phone: 305-261-3849
  • Fax: 305-261-6583
Mailing address:
  • Phone: 305-261-3849
  • Fax: 305-261-6583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: ALEXANDER SASTRI
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 305-261-3849