Organization
LIBERTAD MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL VILLAVICENCIO (PRESIDENT)
(305) 763-5402
Entity
Organization
Contact information
Practice address
8180 NW 36TH ST, SUITE 230, DORAL, FL 33166-6645
(305) 716-0046
(305) 716-0049
Mailing address
8180 NW 36TH ST, DORAL, FL 33166-6645
(305) 716-0046
(305) 716-0049
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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