Organization
ANGELICAL MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EFREN PUENTES (PRESIDENT)
(305) 805-6975
Entity
Organization
Contact information
Practice address
380 E 9TH ST, HIALEAH, FL 33010-4260
(305) 805-6975
(305) 805-6977
Mailing address
380 E 9TH ST, HIALEAH, FL 33010-4260
(305) 805-6975
(305) 805-6977
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
HCC5959
FL
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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