Organization
GUADALUPANA CG INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS NUNEZ (OWNER)
(305) 456-1295
Entity
Organization
Contact information
Practice address
8890 SW 24TH ST, SUITE 206, MIAMI, FL 33165-2060
(305) 456-1295
(305) 220-8930
Mailing address
8890 SW 24TH ST, SUITE 206, MIAMI, FL 33165-2060
(305) 456-1295
(305) 220-8930
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC8938
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629385596
CLINIC CENTER-HEALTH CENTER
FL
Enumeration date
09/13/2010
Last updated
06/28/2013
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