=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700961786
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OUTSTANDING HEALTH CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/26/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4401 SW 8TH ST
-----------------------------------------------------
City | CORAL GABLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33134-2540
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-448-7686
-----------------------------------------------------
Fax | 305-448-7997
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4401 SW 8TH ST
-----------------------------------------------------
City | CORAL GABLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33134-2540
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-448-7686
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | SIXTO IRAN GARCIA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 305-448-7686
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------