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General NPI Number Information
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NPI Number | 1033939129
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Entity Type | Organization
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Legal Business Name | PASTEUR & WELLMAX MEDICAL CENTERS LLC
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 6540 NW 186TH ST
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City | HIALEAH
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State | FL
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Zip | 33015-6004
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Country | US
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Telephone | 305-820-2033
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Fax | 305-820-2032
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Provider Business Mailing Address
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Address Line | 6355 NW 36TH EAST BUILDING SUITE 1100
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166
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Country | US
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Telephone | 786-233-6981
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Fax | 786-322-2317
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JORGE RAAD
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Credential |
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Telephone | 786-233-6981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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