Organization
MEDICA HEALTHCARE PLANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN PEREZ (CFO)
(305) 460-0614
Entity
Organization
Contact information
Practice address
4000 PONCE DE LEON BLVD, 650, CORAL GABLES, FL 33146-1431
(305) 460-0600
(305) 460-0613
Mailing address
4000 PONCE DE LEON BLVD, 650, CORAL GABLES, FL 33146-1431
(305) 460-0600
(305) 460-0613
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H5420
CONTRACT ID
FL
Enumeration date
10/13/2009
Last updated
06/03/2010
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