MEDICARE: METROPOLITAN 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	207Q00000X	Family Medicine Physician	HCC7003	FL

General Provider Information

NPI Number	:	1881631307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPOLITAN MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	150 NW 32ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4906
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 NW 7TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-3410
Country	:	US
Telephone Number	:	305-326-9201
Fax Number	:	305-326-7599

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHEFFY FERNANDEZ
Credential	:
Telephone Number	:	305-326-9201

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	08/22/2020

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