CLINICA LAS MERCEDES IV INC. NPI 1376018804

NPI Information

CLINICA LAS MERCEDES IV, INC. is a multi-specialty clinic center in Hialeah, FL. CLINICA LAS MERCEDES IV, INC. NPI is 1376018804. The provider is registered as an organization entity type.
The provider Is Doing Business As Las Mercedes Medical Center Iv, Inc.

The provider's business location address is:

149 WEST 21ST STREET
HIALEAH, FL
ZIP 33010
Phone: (786) 453-8720

The provider's authorized official is Jorge L. Raad .
The authorized official title is President/c.e.o. and has the following contact phone number (786) 453-8720.

The CLIA number assigned to this NPI record is 10D2156829 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2018 and was last updated on 10/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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