| Salmo 112 Diagnostic Center Inc | |
|
35 Sw 114th Ave Ste 206 Miami FL 33174-1002 | |
| (305) 220-1254 | |
| (305) 220-1255 |
| Full Name | Salmo 112 Diagnostic Center Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 35 Sw 114th Ave, Miami, Florida |
| Authorized Official Name and Position | Sabas L Cruz (PRESIDENT/ADMINISTRATOR) |
| Authorized Official Contact | 3052201254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salmo 112 Diagnostic Center Inc 35 Sw 114th Ave Ste 206 Miami FL 33174-1002 Ph: (305) 220-1254 | Salmo 112 Diagnostic Center Inc 35 Sw 114th Ave Ste 206 Miami FL 33174-1002 Ph: (305) 220-1254 |
| NPI Number | 1669656955 |
|---|---|
| Provider Enumeration Date | 12/21/2007 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669656955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC7943 (Florida) | Primary |
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