Organization
MEDGROUP MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTIAGO VERA MBA (MGRM)
(305) 761-6685
Entity
Organization
Contact information
Practice address
2150 W 68TH ST STE 100, HIALEAH, FL 33016-1802
(305) 854-4443
Mailing address
2150 W 68TH ST STE 102, HIALEAH, FL 33016-1802
(305) 854-4443
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
10/04/2023
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