| Valentus Medical Center | |
|
4751 W 4th Ave Hialeah FL 33012-3938 | |
| (305) 713-5536 | |
| Not Available |
| Full Name | Valentus Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4751 W 4th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Daniel C. Cruz (PRESIDENT) |
| Authorized Official Contact | 7867961200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valentus Medical Center 4751 W 4th Ave Hialeah FL 33012-3938 Ph: (305) 713-5536 | Valentus Medical Center 4751 W 4th Ave Hialeah FL 33012-3938 Ph: (305) 713-5536 |
| NPI Number | 1609407204 |
|---|---|
| Provider Enumeration Date | 02/01/2020 |
| Last Update Date | 06/16/2023 |
| Certification Date | 06/16/2023 |
| Medicare PECOS PAC ID | 6305256835 |
|---|---|
| Medicare Enrollment ID | O20201111002426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609407204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jorge L Garcia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023219763 PECOS PAC ID: 4082881354 Enrollment ID: I20120127000393 |
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