Organization
THE PERSONAL INJURY CLINIC INC
Active
Other names
INSTITUTO DEL DOLOR
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL MARTINEZ (PRESIDENT)
(305) 823-3131
Entity
Organization
Contact information
Practice address
900 W 49TH ST, SUITE 304, HIALEAH, FL 33012-3402
(305) 823-3131
(305) 558-4267
Mailing address
900 W 49TH ST, SUITE 304, HIALEAH, FL 33012-3402
(305) 823-3131
(305) 558-4267
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
HCC6839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AJ680
MEDICARE PTAN
FL
Enumeration date
01/02/2007
Last updated
01/13/2009
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