Organization
MAOS MEDICAL CENTER INC
Active
Organization
MAOS MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAUDEL ALFONSO (OWNER)
(305) 916-6231
Entity
Organization
Contact information
Practice address
7821 SW 24TH ST STE 101, MIAMI, FL 33155-6542
(305) 916-6231
(305) 916-6232
Mailing address
7821 SW 24TH ST STE 101, MIAMI, FL 33155-6542
(305) 916-6231
(305) 916-6232
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
12/30/2020
Last updated
01/26/2023
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