INTEGRA DIALYSIS CENTER LLC NPI 1801438130

NPI Information

NPI: 1801438130
Provider Name: INTEGRA DIALYSIS CENTER LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1490 W 49TH PL
HIALEAH, FL
ZIP 33012
Phone: (954) 274-6045
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INTEGRA DIALYSIS CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Hialeah, FL. INTEGRA DIALYSIS CENTER LLC NPI is 1801438130. The provider is registered as an organization entity type.

The provider's business location address is:

1490 W 49TH PL
HIALEAH, FL
ZIP 33012-148
Phone: (954) 274-6045

The provider's authorized official is Socorro Miryam Mathews .
The authorized official title is Administrator and has the following contact phone number (954) 274-6045.

The enumeration date for this NPI number is 10/8/2019 and was last updated on 10/8/2019.

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 Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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: 11/14/2023

NPI Synchronization or Removal

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