# MEGA HEALTH CENTER EAST LITTLE HAVANA, INC

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

## Provider details

- **NPI number:** 1578823472
- **Authorized official:** MR. ULISES BRIONES (MANAGER)
- **Authorized official phone:** (786) 212-1263

## Contact information

- **Practice address:** 721 NW 21ST CT \# 100, MIAMI, FL 33125-3434
- **Practice address phone:** (786) 212-1263
- **Practice address fax:** (786) 212-1266
- **Mailing address:** 721 NW 21ST CT \# 100, MIAMI, FL 33125-3434
- **Mailing address phone:** (786) 212-1263
- **Mailing address fax:** (786) 212-1266

## Taxonomy

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

## Other

- **Enumeration date:** 05/24/2012
- **Last updated:** 05/24/2012