| Organization Name: | GA S MEDICAL CENTER INC |
| NPI Number: | 1912912577 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PEDRO SANTIESTEBAN (VP) |
| Mailing Address: | 5788 Sw 8th St West Miami |
| State: | FL US |
| Postal Code: | 331445034 |
| Phone Number: | 3052628909 |
| Fax Number: | 3052628906 |
| NPI Enumeration Date: | 07/30/2006 |
| NPI Last Update Date: | 11/01/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | HCC7106 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |