| Clinica Sur Medical Center Corp | |
|
18400 Nw 75th Pl Ste 106 Hialeah FL 33015-2956 | |
| (786) 639-8139 | |
| (786) 637-2107 |
| Full Name | Clinica Sur Medical Center Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 18400 Nw 75th Pl Ste 106, Hialeah, Florida |
| Authorized Official Name and Position | Jesus A Pino (PRESIDENT) |
| Authorized Official Contact | 7866398139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Sur Medical Center Corp 18400 Nw 75th Pl Ste 106 Hialeah FL 33015-2956 Ph: (786) 639-8139 | Clinica Sur Medical Center Corp 18400 Nw 75th Pl Ste 106 Hialeah FL 33015-2956 Ph: (786) 639-8139 |
| NPI Number | 1841805280 |
|---|---|
| Provider Enumeration Date | 09/12/2020 |
| Last Update Date | 09/12/2020 |
| Certification Date | 09/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841805280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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