MEDICARE: METRO MEDICAL RESEARCH CENTER

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	207QA0505X	Adult Medicine Physician	HCC6897	FL

General Provider Information

NPI Number	:	1841229697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO MEDICAL RESEARCH CENTER

Provider Business Mailing Address
First Line	:	2687 SW 25TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-2220
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2687 SW 25TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-2220
Country	:	US
Telephone Number	:	305-856-9777
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANTONIO RODRIGUES
Credential	:
Telephone Number	:	305-856-9777

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	08/22/2020

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Directions to “METRO MEDICAL RESEARCH CENTER ” Practice Location

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