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Mtg Diagnostic Center INC

Medical Genetics, Ph.D. Medical Genetics in Hialeah, FL. Organization (NPI-2).

NPI number1740313816
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1740313816
Entity type
Organization (NPI-2)
Legal business name
Mtg Diagnostic Center INC
Organization subpart
No
Enumeration date
Mar 14, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
170100000X Medical Genetics, Ph.D. Medical Genetics––Yes

Practice location

4445 W 16th Ave
Suite 500
Hialeah, FL 33012-7189

Phone 305-231-0033 · Fax 305-231-0036

Mailing address

4445 W 16th Ave
Suite 500
Hialeah, FL 33012-7189

Phone 305-231-0033 · Fax 305-231-0036

Authorized official

Mauticio V Deniz
President
3052310033

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