# ANGELICAL MEDICAL CENTER INC

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

## Provider details

- **NPI number:** 1487834487
- **Authorized official:** MR. EFREN PUENTES (PRESIDENT)
- **Authorized official phone:** (305) 805-6975

## Contact information

- **Practice address:** 380 E 9TH ST, HIALEAH, FL 33010-4260
- **Practice address phone:** (305) 805-6975
- **Practice address fax:** (305) 805-6977
- **Mailing address:** 380 E 9TH ST, HIALEAH, FL 33010-4260
- **Mailing address phone:** (305) 805-6975
- **Mailing address fax:** (305) 805-6977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | HCC5959 | FL | Yes |

## Other

- **Enumeration date:** 11/07/2007
- **Last updated:** 11/07/2007