MEDICARE: ALL SERVICES 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	HCC 4750	FL

General Provider Information

NPI Number	:	1942209325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL SERVICES MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	1035 E 4TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4103
Country	:	US
Telephone Number	:	305-885-7076
Fax Number	:	305-885-5951

Provider Business Practice Location Address
First Line	:	1035 E 4TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4103
Country	:	US
Telephone Number	:	305-885-7076
Fax Number	:	305-885-5951

Authorized Official
Title or Position	:	PRESIDENT OWNER
Name	:	MIQUEL CABRERA
Credential	:
Telephone Number	:	305-885-7076

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	08/22/2020

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