MEDICARE: MILLENNIUM MEDICAL CENTER CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1003854787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILLENNIUM MEDICAL CENTER CORP

Provider Business Mailing Address
First Line	:	3914 W 12TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4105
Country	:	US
Telephone Number	:	305-823-8244
Fax Number	:

Provider Business Practice Location Address
First Line	:	3914 W 12TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4105
Country	:	US
Telephone Number	:	305-823-8244
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YOANNY DIAZ
Credential	:
Telephone Number	:	305-823-8244

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1417570094 — UNIVERSAL COMMUNITY SERVICES INC.
Practice Location Address:

3908 W 12TH AVE
HIALEAH, FL
33012-4105

Practice Phone: 786-703-3923
Practice Fax:

1679590988 — DIANYO CORPORATION
Practice Location Address:

3912 W 12TH AVE
HIALEAH, FL
33012-4105

Practice Phone: 305-558-2008
Practice Fax:

1912052382 — DR. JOSE MANUEL DELVALLE D.D.S.,P.A
Practice Location Address:

3918 W 12TH AVE
HIALEAH, FL
33012-4105

Practice Phone: 305-556-1770
Practice Fax:

1689885923 — EDITH BUESA
Practice Location Address:

3960 W 12TH AVE
HIALEAH, FL
33012-4105

Practice Phone: 305-556-3117
Practice Fax:

1952537292 — REFLECTIONS MEDICAL CENTER, CORP
Practice Location Address:

3912 W 12TH AVE
HIALEAH, FL
33012-4105

Practice Phone: 305-823-8274
Practice Fax: 305-823-8234

Directions to “MILLENNIUM MEDICAL CENTER CORP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.