Organization
ARC DIALYSIS HIALEAH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEDERICO ALBERTO DUMENIGO (CEO)
(305) 322-6412
Entity
Organization
Contact information
Practice address
3704 W 12TH AVE, HIALEAH, FL 33012-4126
(305) 448-6261
(305) 448-6268
Mailing address
2601 SW 37TH AVE STE 138, MIAMI, FL 33133-2750
(305) 448-6261
(305) 448-6268
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2019
Last updated
05/23/2020
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