PROFESSIONAL MEDICAL SERVICES & MANAGEMENT INC. NPI 1417233222

NPI Information

NPI: 1417233222
Provider Name: PROFESSIONAL MEDICAL SERVICES & MANAGEMENT INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 10D2030902

Address:
315 W 9TH ST FL 2
HIALEAH, FL
ZIP 33010
Phone: (786) 360-4528
Get Directions

PROFESSIONAL MEDICAL SERVICES & MANAGEMENT INC. is a multi-specialty clinic center in Hialeah, FL. PROFESSIONAL MEDICAL SERVICES & MANAGEMENT INC. NPI is 1417233222. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

315 W 9TH ST FL 2
HIALEAH, FL
ZIP 33010-853
Phone: (786) 360-4528
Fax: (786) 360-4529

The provider's authorized official is Sandy Lopez .
The authorized official title is President/ Ceo and has the following contact phone number (786) 360-4528.

The CLIA number assigned to this NPI record is 10D2030902 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2011 and was last updated on 1/25/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	208D00000X	General Practice		FLORIDA	No
2	261Q00000X	Clinic/Center			No
3	261QM1300X	Clinic/Center	Multi-Specialty		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000645500	MEDICAID	FLORIDA
2	ME51845	OTHER	FLORIDA	MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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