Organization
BUENAVENTURA MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MARTI (PRESIDENT)
(305) 274-7335
Entity
Organization
Contact information
Practice address
12305 SW 112TH ST, MIAMI, FL 33186-4822
(305) 274-7335
(305) 274-7336
Mailing address
12305 SW 112TH ST, MIAMI, FL 33186-4822
(305) 274-7335
(305) 274-7336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
HCC6910
FL
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
05/28/2006
Last updated
08/22/2020
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