Organization Name: | HET MEDICAL INC |
NPI Number: | 1891093951 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAYRE URDANETA (OWNER) |
Mailing Address: | 5801 Nw 151st St Suite 107 Miami Lakes |
State: | FL US |
Postal Code: | 330142437 |
Phone Number: | 3058288290 |
Fax Number: | 3058288291 |
NPI Enumeration Date: | 03/14/2011 |
NPI Last Update Date: | 03/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME73691 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |