| Buena Vista Medical Center Inc | |
|
14505 Commerce Way Ste 509 Miami Lakes FL 33016-1529 | |
| (786) 715-8937 | |
| Not Available |
| Full Name | Buena Vista Medical Center Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 14505 Commerce Way Ste 509, Miami Lakes, Florida |
| Authorized Official Name and Position | Ronald Richar Almaguer Guerrero (PRESIDENT) |
| Authorized Official Contact | 7867158937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buena Vista Medical Center Inc 14505 Commerce Way Ste 509 Miami Lakes FL 33016-1529 Ph: (786) 715-8937 | Buena Vista Medical Center Inc 14505 Commerce Way Ste 509 Miami Lakes FL 33016-1529 Ph: (786) 715-8937 |
| NPI Number | 1578179404 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 09/16/2020 |
| Certification Date | 09/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578179404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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