Healthcare Provider Details

I. General information

NPI: 1134870306
Provider Name (Legal Business Name): HOSPITAL AMERIMED ISLAMED S.A. DE C.V.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2022
Last Update Date: 01/10/2022
Certification Date: 01/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE ADOLFO ROSADO SALAS NO 999 ENTRE 85 AV Y 85 AV .B
COZUMEL QUINTANA ROO
77670
MX

IV. Provider business mailing address

PO BOX 39662
FORT LAUDERDALE FL
33339-9662
US

V. Phone/Fax

Practice location:
  • Phone: 987-869-5555
  • Fax:
Mailing address:
  • Phone: 954-526-9751
  • 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: SAMUEL GONZALEZ CRUZ
Title or Position: LEGAL REPRESENTATIVE
Credential:
Phone: 954-903-7445