Organization
SOL MEDICAL CENTER
Active
Parent organization
SOL PEDIATRICS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOL PEDIATRICS, LLC
Authorized official
DR. AGUSTIN RIVAS M.D. (OWNER)
(786) 621-9777
Entity
Organization
Contact information
Practice address
175 W 49TH ST, HIALEAH, FL 33012-3711
(786) 621-9777
Mailing address
175 W 49TH ST, HIALEAH, FL 33012-3711
(786) 621-9777
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME100281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013840000
—
FL
Enumeration date
11/06/2015
Last updated
11/06/2015
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