De La Vega Medical Center, LLC
NPI #1861907677 in Hialeah Gardens, Florida
Provider Information
- NPI Number
- 1861907677
- Entity Type
- Organization
- Organization Name
- De La Vega Medical Center, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Dec 4, 2017
- Last Updated
- Aug 31, 2018
Practice Location
- Address
- 11093 NW 138 STREET, SUITE 121
- City
- Hialeah Gardens
- State
- Florida
- ZIP Code
- 33018
- Phone
- (786) 600-4040
Authorized Official
- Name
- JOSE R PEREZ
- Title
- MANAGER
- Phone
- (786) 600-4040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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