MEDICARE: BEST MEDICAL CENTER HIALEAH CORP

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	261QH0100X	Health Service Clinic/Center
2	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	9244990	OTHER	FL	ARNP

General Provider Information

NPI Number	:	1689165888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST MEDICAL CENTER HIALEAH CORP

Provider Business Mailing Address
First Line	:	1165 W 49TH ST STE 207
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3373
Country	:	US
Telephone Number	:	305-826-5887
Fax Number	:	305-362-1559

Provider Business Practice Location Address
First Line	:	1165 W 49TH ST STE 207
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3373
Country	:	US
Telephone Number	:	305-826-5887
Fax Number	:	305-362-1559

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FELIX D FERRER
Credential	:	ARNP
Telephone Number	:	305-968-9110

Provider Enumeration Date	:	05/23/2018
Last Update Date	:	05/23/2018

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