Organization
IBEROSTAR COMMUNITY WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUNIOR ALFONSO MONTALVO (OWNER/PRESIDENT)
(786) 585-1406
Entity
Organization
Contact information
Practice address
12963 W OKEECHOBEE RD STE 4, HIALEAH GARDENS, FL 33018-6055
(786) 585-1406
Mailing address
12963 W OKEECHOBEE RD STE 4, HIALEAH GARDENS, FL 33018-6055
(786) 585-1406
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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