Organization
NEW LIFE MEDICAL RESEARCH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REYMUNDO SILVA APRN (AUTHORIZED OFFICIAL)
(786) 508-3521
Entity
Organization
Contact information
Practice address
3750 W 16TH AVE STE 226U, HIALEAH, FL 33012-4648
(786) 360-3750
Mailing address
3750 W 16TH AVE STE 226U, HIALEAH, FL 33012-4648
(786) 360-3750
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11007600
LICENSE
FL
Enumeration date
12/22/2020
Last updated
12/22/2020
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