Organization
MEDTRUST NETWORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSA DE LA TORRE M.D. (PRESIDENT)
(305) 228-8498
Entity
Organization
Contact information
Practice address
2500 SW 107TH AVE, SUITE # 40, MIAMI, FL 33165-2470
(305) 228-8498
(305) 228-8761
Mailing address
2500 SW 107TH AVE, SUITE # 40, MIAMI, FL 33165-2470
(305) 228-8498
(305) 228-8761
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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