# RENOVATION HEALTH MEDICAL CENTER INC

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

## Provider details

- **NPI number:** 1265815278
- **Authorized official:** YUNIER VALDES (PRESIDENT)
- **Authorized official phone:** (305) 720-9253

## Contact information

- **Practice address:** 4355 W 16TH AVE STE 211, HIALEAH, FL 33012-7666
- **Practice address phone:** (305) 720-9253
- **Practice address fax:** (305) 402-0422
- **Mailing address:** 4355 W 16TH AVE STE 211, HIALEAH, FL 33012-7666
- **Mailing address phone:** (305) 720-9253
- **Mailing address fax:** (305) 402-0422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 07/08/2015
- **Last updated:** 09/12/2015