# ACTIVE MEDICAL CARE CENTER CORP

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

## Provider details

- **NPI number:** 1194779546
- **Authorized official:** EUCLIDES MARTINEZ (PRESIDENT)
- **Authorized official phone:** (305) 362-4994

## Contact information

- **Practice address:** 2800 W 84TH ST, BAY 11, HIALEAH, FL 33018-4922
- **Practice address phone:** (305) 362-4994
- **Mailing address:** 2800 W 84TH ST, BAY 11, HIALEAH, FL 33018-4922
- **Mailing address phone:** (305) 362-4994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 08/22/2020