Organization Name: | BETTER LIFE MEDICAL SERVICES CORP |
NPI Number: | 1124412838 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FAUSTO P CASTIILO (PRESIDENT) |
Mailing Address: | 1651 W 37th St Ste 404 Hialeah |
State: | FL US |
Postal Code: | 330124692 |
Phone Number: | 3058214995 |
Fax Number: | 8446284556 |
NPI Enumeration Date: | 03/20/2015 |
NPI Last Update Date: | 04/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |