MEDICARE: GALATAS 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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1619313558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GALATAS MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	10912 SW 184TH ST
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-6608
Country	:	US
Telephone Number	:	305-254-0104
Fax Number	:	305-254-0105

Provider Business Practice Location Address
First Line	:	10912 SW 184TH ST
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-6608
Country	:	US
Telephone Number	:	305-254-0104
Fax Number	:	305-254-0105

Authorized Official
Title or Position	:	OWNER
Name	:	NELSON M RAMIREZ
Credential	:
Telephone Number	:	305-254-0104

Provider Enumeration Date	:	05/19/2013
Last Update Date	:	05/19/2013

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Directions to “GALATAS MEDICAL CENTER INC ” Practice Location

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