# MEDICAO DE LA FAMILIA CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1700012648
- **Authorized official:** GUILLERMO CARBALLIDO (PRESIDENT)
- **Authorized official phone:** (305) 885-1971

## Contact information

- **Practice address:** 865 E 10TH AVE, HIALEAH, FL 33010-4645
- **Practice address phone:** (305) 885-1971
- **Practice address fax:** (305) 885-1973
- **Mailing address:** 865 E 10TH AVE, HIALEAH, FL 33010-4645
- **Mailing address phone:** (305) 885-1971
- **Mailing address fax:** (305) 885-1973

## Taxonomy

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

## Other

- **Enumeration date:** 06/05/2009
- **Last updated:** 06/05/2009