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Organization

PANAMERICAN HEALTH CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CARLOS A RIVERO MT (AUTHORIZED OFFICIAL)
(305) 567-0060
Entity
Organization

Contact information

Practice address
4750 NW 7TH STREET, SUITE 13, MIAMI, FL 33126-2253
(305) 567-0060
(305) 567-0065
Mailing address
4750 NW 7TH STREET, SUITE 13, MIAMI, FL 33126-2253
(305) 567-0060
(305) 567-0065

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH8930
FL
208D00000X
General Practice Physician
ACN 223
FL
208D00000X
General Practice Physician
ACN 316
FL
208D00000X
General Practice Physician
Primary
HCC6049
FL
2355S0801X
Speech-Language Assistant
SI 637
FL
363A00000X
Physician Assistant
CI 415
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
K8291A
FL
Enumeration date
05/28/2008
Last updated
12/10/2019
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