| Organization Name: | MEDICAL POLICLINIC INC |
| NPI Number: | 1194105726 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUAN JESUS SALINA (MEDICAL DOCTOR) |
| Mailing Address: | 9300 Nw 25th St Ste 106 Doral |
| State: | FL US |
| Postal Code: | 331721506 |
| Phone Number: | 3053812356 |
| Fax Number: | 7865343568 |
| NPI Enumeration Date: | 06/09/2015 |
| NPI Last Update Date: | 06/09/2015 |
| 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: | |