1790968683 NPI number — MIAMI HEART CENTER INC

Table of content: (NPI 1790968683)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790968683 NPI number — MIAMI HEART CENTER INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MIAMI HEART CENTER INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790968683
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/05/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1990 SW 27TH AVE
Provider Second Line Business Mailing Address:
2ND FLOOR
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33145-2547
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-442-1159
Provider Business Mailing Address Fax Number:
305-442-0658

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1990 SW 27TH AVE
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33145-2547
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-442-1159
Provider Business Practice Location Address Fax Number:
305-442-0658
Provider Enumeration Date:
12/13/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CUETO
Authorized Official First Name:
JUAN
Authorized Official Middle Name:
C
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
305-442-1159

Provider Taxonomy Codes

  • Taxonomy code: 207RI0011X , with the licence number:  ME0060255 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0018S . This is a "PREFERRED CARE PARTNERS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".