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NPI Code Detail

MEDICARE: ATLANTIC MOBILE SERVICES, INC.

MEDICARE: ATLANTIC MOBILE SERVICES, 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
1261QH0100XHealth Service Clinic/CenterHCC8307FL

General Provider Information

NPI Number : 1871815795
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATLANTIC MOBILE SERVICES, INC.
Provider Business Mailing Address
First Line : 387 W 29TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-5707
Country : US
Telephone Number : 305-603-8139
Fax Number : 305-381-5465
Provider Business Practice Location Address
First Line : 387 W 29TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-5707
Country : US
Telephone Number : 305-603-8139
Fax Number : 305-381-5465
Authorized Official
Title or Position : PRESIDENT
Name : RUBEN HERNANDEZ
Credential : RT(ARRT)
Telephone Number : 305-603-8139
Provider Enumeration Date : 02/19/2010
Last Update Date : 02/19/2010

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Directions to “ATLANTIC MOBILE SERVICES, INC. ” Practice Location

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