Organization
RDM MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISSE MARTINEZ (MANAGER/CO-OWNER)
(305) 823-1959
Entity
Organization
Contact information
Practice address
1840 W 49TH ST STE 404, HIALEAH, FL 33012-2978
(305) 823-1959
(305) 823-1977
Mailing address
1840 W 49TH ST STE 404, HIALEAH, FL 33012-2978
(305) 823-1959
(305) 823-1977
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC6354
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC6354
STATE HEALTH CARE LICENSE
FL
Enumeration date
07/05/2006
Last updated
08/22/2020
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