MEDICARE: UNNO MEDICAL CENTERS LLC

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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1104593409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNNO MEDICAL CENTERS LLC

Provider Business Mailing Address
First Line	:	1550 MADRUGA AVE STE 400
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-3019
Country	:	US
Telephone Number	:	305-215-6969
Fax Number	:

Provider Business Practice Location Address
First Line	:	1550 MADRUGA AVE STE 400
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-3019
Country	:	US
Telephone Number	:	786-749-4420
Fax Number	:	786-332-2255

Authorized Official
Title or Position	:	CEO
Name	:	GABRIEL PEREZ
Credential	:
Telephone Number	:	305-215-6969

Provider Enumeration Date	:	08/24/2021
Last Update Date	:	01/21/2022

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