Organization
LA COLONIA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YENIN ACEVEDO FMG (PRESIDENT)
(305) 823-3312
Entity
Organization
Contact information
Practice address
2001 NW 7TH ST, MIAMI, FL 33125-3479
(305) 823-3312
(305) 863-6194
Mailing address
167 W 23RD ST, HIALEAH, FL 33010-2211
(305) 823-3312
(305) 863-6194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME115954
FL
261QH0100X
Health Service Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
ARNP9291008
FL
Other
Enumeration date
12/09/2014
Last updated
06/29/2021
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