MEDICARE: PATHWAY INSTITUTE 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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1093757346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATHWAY INSTITUTE INC

Provider Business Mailing Address
First Line	:	1030 NE 215TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33179-1353
Country	:	US
Telephone Number	:	305-653-3335
Fax Number	:	305-653-3336

Provider Business Practice Location Address
First Line	:	1030 NE 215TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33179-1353
Country	:	US
Telephone Number	:	305-653-3335
Fax Number	:	305-653-3336

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. VICENTE A RAMIREZ
Credential	:
Telephone Number	:	305-653-3335

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	08/22/2020

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