NPI 1194779546 · live from the CMS NPI Registry
Active Medical Care Center Corp
Family Medicine in Hialeah, FL. National Provider Identifier 1194779546, active.
NPI record
| NPI | 1194779546 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2800 W 84th St, Bay 11, Hialeah, FL 33018 |
| Practice phone | 305-362-4994 |
| Enumerated | May 20, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Euclides Martinez, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.