MEDICARE: IEM CONSULTING, 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	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1386027670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IEM CONSULTING, INC

Provider Business Mailing Address
First Line	:	535 SW 98TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33174-1961
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	535 SW 98TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33174-1961
Country	:	US
Telephone Number	:	305-335-5453
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CARLOS VALDES
Credential	:
Telephone Number	:	305-335-5453

Provider Enumeration Date	:	07/03/2015
Last Update Date	:	07/03/2015

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