# MEDICAL AND THERAPY SERVICE INC

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

## Provider details

- **NPI number:** 1205024858
- **Authorized official:** ROBERTO DIAZ (PRESIDENT)
- **Authorized official phone:** (305) 445-4704

## Contact information

- **Practice address:** 4896 NW 7TH ST, MIAMI, FL 33126-2102
- **Practice address phone:** (305) 445-4704
- **Practice address fax:** (305) 445-4705
- **Mailing address:** 4896 NW 7TH ST, MIAMI, FL 33126-2102
- **Mailing address phone:** (305) 445-4704
- **Mailing address fax:** (305) 445-4705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | HCC7566 | FL | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 10/12/2007