# LA MILAGROSA MEDICAL CENTER, INC

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

## Provider details

- **NPI number:** 1588248033
- **Authorized official:** JOSE RODRIGUEZ (OWNER)
- **Authorized official phone:** (239) 541-8442

## Contact information

- **Practice address:** 3523 DEL PRADO BLVD S, CAPE CORAL, FL 33904-7266
- **Practice address phone:** (239) 541-8442
- **Mailing address:** 891-893 EAST 10TH AVENUE, HIALEAH, FL 33010
- **Mailing address phone:** (786) 220-2029
- **Mailing address fax:** (786) 220-2094

## Taxonomy

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

## Other

- **Enumeration date:** 05/11/2021
- **Last updated:** 05/11/2021