Organization
MERCY SURGICAL & MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO CARRALERO (PRESIDENT)
(305) 836-8299
Entity
Organization
Contact information
Practice address
948 E 25TH ST, HIALEAH, FL 33013-3404
(305) 836-8299
(305) 836-8299
Mailing address
948 E 25TH ST, HIALEAH, FL 33013-3404
(305) 836-8299
(305) 836-8299
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HCC2996
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC2996
AHCA HEALTH CARE CLINIC
FL
Enumeration date
03/28/2007
Last updated
08/22/2020
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