Organization Name: | MEGA HEALTH CENTER EAST HIALEAH INC |
NPI Number: | 1306101522 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SONIA I RENTE (DIRECTOR) |
Mailing Address: | 551 E 49th St Ste 1-8 Hialeah |
State: | FL US |
Postal Code: | 330131904 |
Phone Number: | 3052459990 |
Fax Number: | 3052459951 |
NPI Enumeration Date: | 07/13/2012 |
NPI Last Update Date: | 07/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |