La Colonia Medical Center INC
Clinic/Center, Health Services in Kendall, FL. Organization (NPI-2).
NPI number1124698337
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1124698337
- Entity type
- Organization (NPI-2)
- Legal business name
- La Colonia Medical Center INC
- Organization subpart
- No
- Enumeration date
- Jun 29, 2021
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
Practice location
5855 Sw 137th AveKendall, FL 33183-1105
Phone 305-823-3312 · Fax 786-360-2327
Mailing address
167 W 23rd StHialeah, FL 33010-2211
Phone 305-823-3312 · Fax 786-360-2327
Authorized official
Yenin Acevedo
President
3056081082
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