MEDICARE: TROPICALPARKANIMALHOSPITAL

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	174M00000X	Veterinarian	VM6369	FL

General Provider Information

NPI Number	:	1427383405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TROPICALPARKANIMALHOSPITAL

Provider Business Mailing Address
First Line	:	2330S.W.67AVENUE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155
Country	:	US
Telephone Number	:	305-553-4464
Fax Number	:	305-266-1907

Provider Business Practice Location Address
First Line	:	2330 SW 67TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1846
Country	:	US
Telephone Number	:	305-553-4464
Fax Number	:	305-266-1907

Authorized Official
Title or Position	:	VETERINARIAN
Name	:	DR. ALBERT RENE IGLESIAS
Credential	:	D.V.M.
Telephone Number	:	305-553-4464

Provider Enumeration Date	:	10/09/2009
Last Update Date	:	10/09/2009

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