MEDICARE: REFLECTIONS MEDICAL CENTER, CORP

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	302F00000X	Exclusive Provider Organization

General Provider Information

NPI Number	:	1952537292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REFLECTIONS MEDICAL CENTER, CORP

Provider Business Mailing Address
First Line	:	3912 W 12TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4105
Country	:	US
Telephone Number	:	305-823-8274
Fax Number	:	305-823-8234

Provider Business Practice Location Address
First Line	:	3912 W 12TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4105
Country	:	US
Telephone Number	:	305-823-8274
Fax Number	:	305-823-8234

Authorized Official
Title or Position	:	VP
Name	:	JANET MONSERRAT
Credential	:
Telephone Number	:	305-823-8274

Provider Enumeration Date	:	06/01/2009
Last Update Date	:	06/01/2009

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