Organization
CLINICA GUADALUPE, CORP.
Active
Other names
Clinica Guadalupe
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BELKIS A ALVAREZ (ADMINISTRATOR)
(786) 344-8916
Entity
Organization
Contact information
Practice address
5475 GOLDEN GATE PKWY STE 5W, NAPLES, FL 34116-7529
(239) 315-4821
(239) 315-4824
Mailing address
19050 SW 194TH AVE, MIAMI, FL 33187-1945
(786) 344-8916
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
HCC12895
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1PENDING
—
FL
Enumeration date
05/14/2018
Last updated
05/14/2018
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