| Um Distributor Corp | |
|
12032 Sw 132nd Ct Ste 204 Miami FL 33186-6409 | |
| (786) 464-0797 | |
| Not Available |
| Full Name | Um Distributor Corp |
|---|---|
| Speciality | General Practice |
| Location | 12032 Sw 132nd Ct Ste 204, Miami, Florida |
| Authorized Official Name and Position | Rafael Fuentes Piloto (PRESIDENT) |
| Authorized Official Contact | 7864640797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Um Distributor Corp 12032 Sw 132nd Ct Ste 204 Miami FL 33186-6409 Ph: (786) 464-0797 | Um Distributor Corp 12032 Sw 132nd Ct Ste 204 Miami FL 33186-6409 Ph: (786) 464-0797 |
| NPI Number | 1144733015 |
|---|---|
| Provider Enumeration Date | 11/14/2017 |
| Last Update Date | 11/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144733015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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