Organization
CORAZON DE JESUS MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS ALBERTO DIAZ VALLADARES APRN (OWNER)
(786) 488-4301
Entity
Organization
Contact information
Practice address
4908 SW 8TH ST, CORAL GABLES, FL 33134-2439
(305) 964-7749
(786) 534-2917
Mailing address
4908 SW 8TH ST, CORAL GABLES, FL 33134-2439
(305) 964-7749
(786) 534-2917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/07/2023
Last updated
03/12/2024
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