MEDICARE: SAN JUDAS MEDICAL CENTERS 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	:	1346043940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN JUDAS MEDICAL CENTERS INC

Provider Business Mailing Address
First Line	:	1255 W 46TH ST STE 3
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3257
Country	:	US
Telephone Number	:	786-718-8282
Fax Number	:

Provider Business Practice Location Address
First Line	:	1255 W 46TH ST STE 3
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3257
Country	:	US
Telephone Number	:	786-718-8282
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANISLEY TREJO
Credential	:
Telephone Number	:	786-718-8282

Provider Enumeration Date	:	03/29/2025
Last Update Date	:	03/29/2025

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Directions to “SAN JUDAS MEDICAL CENTERS INC ” Practice Location

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