MEDICARE: ANAY MEDICAL CENTER 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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1376882787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANAY MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	6355 SW 8TH ST
Second Line	:	SUITE # 500
City	:	WEST MIAMI
State	:	FL
Zip	:	33144-4858
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6355 SW 8TH ST
Second Line	:	SUITE # 500
City	:	WEST MIAMI
State	:	FL
Zip	:	33144-4858
Country	:	US
Telephone Number	:	786-275-4096
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANAY ARENCIBIA
Credential	:
Telephone Number	:	786-275-4096

Provider Enumeration Date	:	02/05/2013
Last Update Date	:	02/05/2013

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