# MIAMI LAKES MEDICAL,INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073667465
- **Authorized official:** MR. JESUS ROJAS RRT (OWNER)
- **Authorized official phone:** (305) 558-8838

## Contact information

- **Practice address:** 6175 NW 167TH ST, SUITE G-25, HIALEAH, FL 33015-4339
- **Practice address phone:** (305) 558-8838
- **Practice address fax:** (305) 558-8011
- **Mailing address:** 6175 NW 167TH ST, SUITE G-25, HIALEAH, FL 33015-4339
- **Mailing address phone:** (305) 558-8838
- **Mailing address fax:** (305) 558-8011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 319 | FL | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 01/03/2014