| Angel Medical Center | |
|
1401 E 4th Ave Ste 104 Hialeah FL 33010-3504 | |
| (305) 888-9000 | |
| (305) 888-8269 |
| Full Name | Angel Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1401 E 4th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Tulio Quirantes (PRESIDENT) |
| Authorized Official Contact | 3058889000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Medical Center 1401 E 4th Ave Ste 104 Hialeah FL 33010-3504 Ph: (305) 888-9000 | Angel Medical Center 1401 E 4th Ave Ste 104 Hialeah FL 33010-3504 Ph: (305) 888-9000 |
| NPI Number | 1932253648 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 04/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932253648 | NPI | - | NPPES |
| 062403900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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