Organization
MATEO MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO LOPEZ (OWNER)
(305) 492-5983
Entity
Organization
Contact information
Practice address
1850 SW 80 TH AVE, UNIT 312, MIAMI, FL 33135-2119
(305) 492-5983
Mailing address
1850 SW 80 TH AVE, UNIT 312, MIAMI, FL 33135-2119
(305) 492-5983
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
08/23/2022
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