MEDICARE: MARIBEL MEDICAL SERVICES INC

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	:	1023189776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIBEL MEDICAL SERVICES INC

Provider Business Mailing Address
First Line	:	138 NE 1ST AVE
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4204
Country	:	US
Telephone Number	:	786-319-8123
Fax Number	:

Provider Business Practice Location Address
First Line	:	138 NE 1ST AVE
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4204
Country	:	US
Telephone Number	:	786-319-8123
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIBEL GARCIA MORENO
Credential	:
Telephone Number	:	786-319-8123

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	08/22/2020

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Directions to “MARIBEL MEDICAL SERVICES INC ” Practice Location

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