# MA-R MEDICAL CENTER INC

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

## Provider details

- **NPI number:** 1760553994
- **Authorized official:** FIDALGIS FONT (PRESIDENT)
- **Authorized official phone:** (305) 265-1665

## Contact information

- **Practice address:** 8574 SW 8TH ST, MIAMI, FL 33144-4053
- **Practice address phone:** (305) 265-1665
- **Practice address fax:** (305) 265-1226
- **Mailing address:** 8574 SW 8TH ST, MIAMI, FL 33144-4053
- **Mailing address phone:** (305) 265-1665
- **Mailing address fax:** (305) 265-1226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | HCC6986 | FL | Yes |

## Other

- **Enumeration date:** 11/10/2006
- **Last updated:** 09/20/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | HCC6986 | LICENSE NUMBER | — |