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NPI Code Detail

MEDICARE: LATIN AMERICAN MEDICAL CARE INC

MEDICARE: LATIN AMERICAN MEDICAL CARE 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
1261Q00000XClinic/CenterHCC4880FL

General Provider Information

NPI Number : 1942273586
Entity Type Code : Organization
Provider Name (Legal Business Name) : LATIN AMERICAN MEDICAL CARE INC
Provider Business Mailing Address
First Line : 7150 W 20TH AVE
Second Line : SUITE 614
City : HIALEAH
State : FL
Zip : 33016-5529
Country : US
Telephone Number : 305-702-9614
Fax Number : 305-826-5093
Provider Business Practice Location Address
First Line : 7150 W 20TH AVE
Second Line : SUITE 614
City : HIALEAH
State : FL
Zip : 33016-5529
Country : US
Telephone Number : 305-702-9614
Fax Number : 305-826-5093
Authorized Official
Title or Position : PRESIDENT
Name : YUSBELIS HERNANDEZ
Credential :
Telephone Number : 305-702-9614
Provider Enumeration Date : 02/13/2006
Last Update Date : 03/13/2008

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Directions to “LATIN AMERICAN MEDICAL CARE INC ” Practice Location

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