Organization
MY VIRTUAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LUIS RIVERA MENDEZ MD (MANAGER)
(786) 682-4084
Entity
Organization
Contact information
Practice address
1890 S OCEAN DR APT 1703, HALLANDALE BEACH, FL 33009-7735
(786) 682-4084
Mailing address
1890 S OCEAN DR APT 1703, HALLANDALE BEACH, FL 33009-7735
(786) 682-4084
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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