# MIAMI VA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1285751974
- **Authorized official:** JOSE A MARTINEZ (RN MSN NURSE MANAGER)
- **Authorized official phone:** (305) 575-3105

## Contact information

- **Practice address:** 1201 NW 16TH ST, MIAMI, FL 33125-1624
- **Practice address phone:** (305) 575-3105
- **Mailing address:** 16250 NW 19TH ST, PEMBROKE PINES, FL 33028-1743
- **Mailing address phone:** (305) 575-3105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | RN 9214248 | FL | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020