Organization
BLUE DIAMOND MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ROSARIO-TORRES PA (MANAGER)
(786) 365-3505
Entity
Organization
Contact information
Practice address
12646 SW 8TH ST, MIAMI, FL 33184-1424
(786) 703-4774
(786) 703-4777
Mailing address
12646 SW 8TH ST, MIAMI, FL 33184-1424
(786) 703-4774
(786) 703-4777
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HCC10063
FL
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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