Healthcare Provider Details

I. General information

NPI: 1063910230
Provider Name (Legal Business Name): SERVICIOS MEDICOS PARA TODOS S.A. DE C.V.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2018
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

872-874 AV. LOPEZ PORTILLO SM 59 MZ 37 UNIDAD MORELOS ENTRE AV. KABAH Y AV. COMALCALCO
CANCUN QUINTANA ROO
77515
MX

IV. Provider business mailing address

PO BOX 11577
FORT LAUDERDALE FL
33339-1577
US

V. Phone/Fax

Practice location:
  • Phone: 998-843-5454
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: JUAN CARLOS GARRIDO HERNANDEZ
Title or Position: SERVICIO AL PACIENTE
Credential:
Phone: 954-903-7445