MEDICARE: GMH INSTITUTE 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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1548300999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GMH INSTITUTE INC

Provider Business Mailing Address
First Line	:	434 SW 12TH AVE STE 304
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33130-2433
Country	:	US
Telephone Number	:	305-541-8404
Fax Number	:	305-541-8405

Provider Business Practice Location Address
First Line	:	434 SW 12TH AVE STE 304
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33130-2433
Country	:	US
Telephone Number	:	305-541-8404
Fax Number	:	305-541-8405

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LUIS BARRUELO
Credential	:
Telephone Number	:	305-541-8404

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	08/22/2020

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Directions to “GMH INSTITUTE INC ” Practice Location

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