Organization
WESTERN GABLES MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS LUIS PRESIDENT (PRESIDENT)
(305) 264-7707
Entity
Organization
Contact information
Practice address
5511 SW 8TH ST STE 101, CORAL GABLES, FL 33134-2272
(305) 264-7707
(305) 264-4942
Mailing address
5511 SW 8TH ST STE 101, CORAL GABLES, FL 33134-2272
(305) 264-7707
(305) 264-4942
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261Q00000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261Q00000X
MEDICAL CLINIC
FL
Enumeration date
08/09/2006
Last updated
08/22/2020
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