Organization
MIAMI PORC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIERCE ROMERO PRESIDENT (PRESIDENT)
(305) 324-0074
Entity
Organization
Contact information
Practice address
515 SW 12TH AVE STE 513, MIAMI, FL 33130-2436
(305) 324-0074
Mailing address
1146 SW 6TH ST APT 6, MIAMI, FL 33130-3157
(305) 324-0074
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
02/24/2007
Last updated
08/22/2020
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