Organization Name: | ROYAL CARE MEDICAL CENTER INC |
NPI Number: | 1063750164 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDUARDO S MENDEZ (OWNER/ PRESIDENT) |
Mailing Address: | 9600 Sw 8th St Suite 9-10 Miami |
State: | FL US |
Postal Code: | 331742900 |
Phone Number: | 7869536415 |
Fax Number: | 7869536515 |
NPI Enumeration Date: | 01/24/2013 |
NPI Last Update Date: | 07/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | HCC10264 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |