MEDICARE: RIMA 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	:	1891920393
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIMA MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	5985 SW 8TH ST
Second Line	:
City	:	WEST MIAMI
State	:	FL
Zip	:	33144-5037
Country	:	US
Telephone Number	:	305-265-5065
Fax Number	:	305-265-5064

Provider Business Practice Location Address
First Line	:	5985 SW 8TH ST
Second Line	:
City	:	WEST MIAMI
State	:	FL
Zip	:	33144-5037
Country	:	US
Telephone Number	:	305-265-5065
Fax Number	:	305-265-5064

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RICARDO MARTINEZ
Credential	:
Telephone Number	:	305-265-5065

Provider Enumeration Date	:	05/27/2009
Last Update Date	:	04/26/2011

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