| Los Amigos Medical Center Corp | |
|
705 E 8th Ave Ste 101 Hialeah FL 33010-4613 | |
| (305) 454-8395 | |
| (305) 402-0322 |
| Full Name | Los Amigos Medical Center Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 705 E 8th Ave Ste 101, Hialeah, Florida |
| Authorized Official Name and Position | Julio Y Alonso Garcia (OFFICER) |
| Authorized Official Contact | 3054548395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Amigos Medical Center Corp 705 E 8th Ave Ste 101 Hialeah FL 33010-4613 Ph: (305) 454-8395 | Los Amigos Medical Center Corp 705 E 8th Ave Ste 101 Hialeah FL 33010-4613 Ph: (305) 454-8395 |
| NPI Number | 1346969516 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 08/23/2022 |
| Medicare PECOS PAC ID | 8325406721 |
|---|---|
| Medicare Enrollment ID | O20230616000653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346969516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Lazaro J Diaz Iglesias |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1952048332 PECOS PAC ID: 6305290008 Enrollment ID: I20230928004238 |
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