Organization Name: | HISPANIC HEALTHCARE CENTER INC |
NPI Number: | 1104082833 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PABLO A CANINO (PRESIDENT) |
Mailing Address: | 1774 Sw 8th St Ste A Miami |
State: | FL US |
Postal Code: | 331353507 |
Phone Number: | 7868374110 |
Fax Number: | 3056427475 |
NPI Enumeration Date: | 08/01/2008 |
NPI Last Update Date: | 08/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 98585 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |