Healthcare Provider Details

I. General information

NPI: 1962949172
Provider Name (Legal Business Name): ESPECIALIZADOS EN SERVICIOS MEDICOS QUIRURGICOS SA DE CV
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2017
Last Update Date: 02/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

A. OBREGON 3256 COL. JARDIN
NUEVO LAREDO TAMAULIPAS
88260
MX

IV. Provider business mailing address

PO BOX 11577
FORT LAUDERDALE FL
33339-1577
US

V. Phone/Fax

Practice location:
  • Phone: 954-903-7445
  • 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: LAURA GARCIA
Title or Position: MANAGER
Credential:
Phone: 954-903-7445