Organization
ESMERALDA MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBELIS HERNANDEZ (OWNER)
(305) 342-3335
Entity
Organization
Contact information
Practice address
14100 PALMETTO FRNTG RD, SUITE 105, MIAMI LAKES, FL 33016-1569
(305) 342-3335
Mailing address
14100 PALMETTO FRNTG RD, SUITE 105, MIAMI LAKES, FL 33016-1569
(786) 443-3075
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/26/2017
Last updated
05/09/2017
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