Organization
CLINICA SUR MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS A PINO (PRESIDENT)
(786) 639-8139
Entity
Organization
Contact information
Practice address
18400 NW 75TH PL STE 106, HIALEAH, FL 33015-2956
(786) 639-8139
(786) 637-2107
Mailing address
18400 NW 75TH PL STE 106, HIALEAH, FL 33015-2956
(786) 639-8139
(786) 637-2107
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/12/2020
Last updated
09/12/2020
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