| Organization Name: | PRESTIGE MEDICAL SERVICES INC |
| NPI Number: | 1013216597 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HUMBERTO HERNANDEZ (PRESIDENT) |
| Mailing Address: | 12905 Sw 42nd St Ste 101 Miami |
| State: | FL US |
| Postal Code: | 331752910 |
| Phone Number: | 3055535600 |
| Fax Number: | 3055535602 |
| NPI Enumeration Date: | 03/23/2011 |
| NPI Last Update Date: | 08/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | HCC9068 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |