# LA UNION MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1245793462
- **Authorized official:** JORGE PEREZ (AMBR)
- **Authorized official phone:** (305) 456-8366

## Contact information

- **Practice address:** 620 NW 33RD AVE, MIAMI, FL 33125-4106
- **Practice address phone:** (305) 456-8366
- **Practice address fax:** (305) 456-5900
- **Mailing address:** 620 NW 33RD AVE, MIAMI, FL 33125-4106
- **Mailing address phone:** (305) 456-8366
- **Mailing address fax:** (305) 456-5900

## Taxonomy

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

## Other

- **Enumeration date:** 04/14/2019
- **Last updated:** 04/14/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000000000 | — | FL |