# MED PLAN CLINIC, LLC

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

## Provider details

- **NPI number:** 1215279732
- **Authorized official:** MANUEL IGLESIAS (CEO)
- **Authorized official phone:** (786) 641-5348

## Contact information

- **Practice address:** 7200 NW 7TH STREET, MIAMI, FL 33126
- **Practice address phone:** (305) 266-2929
- **Practice address fax:** (305) 907-6099
- **Mailing address:** 3155 NW 77TH AVENUE, MIAMI, FL 33122
- **Mailing address phone:** (305) 266-2929
- **Mailing address fax:** (305) 907-6099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QC1500X | Community Health Clinic/Center | — | FL | Yes |

## Other

- **Enumeration date:** 03/22/2013
- **Last updated:** 06/12/2017