| Organization Name: | LA MAR MEDICAL CENTER, INC. |
| NPI Number: | 1659478832 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUIS M BURON (PRESIDENT) |
| Mailing Address: | 5829 Sw 8th St West Miami |
| State: | FL US |
| Postal Code: | 331445035 |
| Phone Number: | 3052628320 |
| Fax Number: | 3052628321 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | HCC6103 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |