| Miami Rescue Mission Clinic, Inc | |
|
2015 Nw 1st Ave Miami FL 33127-4901 | |
| (305) 571-2273 | |
| (305) 572-2025 |
| Full Name | Miami Rescue Mission Clinic, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2015 Nw 1st Ave, Miami, Florida |
| Authorized Official Name and Position | Pete A. Gutierrez (PRESIDENT) |
| Authorized Official Contact | 3056065317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Rescue Mission Clinic, Inc 2015 Nw 1st Ave Miami FL 33127-4901 Ph: (305) 571-2273 | Miami Rescue Mission Clinic, Inc 2015 Nw 1st Ave Miami FL 33127-4901 Ph: (305) 571-2273 |
| NPI Number | 1154688174 |
|---|---|
| Provider Enumeration Date | 04/16/2012 |
| Last Update Date | 06/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154688174 | NPI | - | NPPES |
| 3537400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | PA3622 (Florida) | Primary |
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